MEDICARE: RAM K KAMATH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A46329	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110212888	OTHER		RAILROAD
2	ZZZ61434Z	OTHER	CA	BLUE CROSS/SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386649556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAM K KAMATH M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2400
Second Line	:
City	:	APPLE VALLEY
State	:	CA
Zip	:	92307-0045
Country	:	US
Telephone Number	:	760-946-4840
Fax Number	:	760-946-4740

Provider Business Practice Location Address
First Line	:	19015 TOWN CENTER DR
Second Line	:	STE 101
City	:	APPLE VALLEY
State	:	CA
Zip	:	92308-8943
Country	:	US
Telephone Number	:	760-247-0581
Fax Number	:	760-247-3611

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	02/27/2014

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Directions to “ RAM K KAMATH M.D.” Practice Location

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