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1386798890

NPI Code Detail

MEDICARE: VIMALA RAMACHANDRAN MD

MEDICARE: VIMALA RAMACHANDRAN MD

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	207X00000X	Orthopaedic Surgery Physician	42885	AZ
2	207XS0106X	Orthopaedic Hand Surgery Physician	42885	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	G8867021	OTHER	WA	MEDICARE PTAN
3	P00451131	OTHER	WA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0222310	OTHER	WA	LABOR AND INDUSTRY
5	9672RA	OTHER	WA	REGENCE BLUE SHIELD

General Provider Information

NPI Number	:	1386798890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIMALA RAMACHANDRAN MD

Provider Business Mailing Address
First Line	:	PO BOX 80217
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85060-0217
Country	:	US
Telephone Number	:	602-385-2115
Fax Number	:	480-418-3323

Provider Business Practice Location Address
First Line	:	2902 W AGUA FRIA FWY STE 1090
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85027-3970
Country	:	US
Telephone Number	:	602-648-5444
Fax Number	:	602-772-3801

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

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	09/01/2022

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1003881442 — DR. ERIC N NOVACK M.D.
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Practice Location Address:

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Practice Location Address:

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Directions to “ VIMALA RAMACHANDRAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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