MEDICARE: DR. SUNIL K RAM 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	2085R0202X	Diagnostic Radiology Physician	A95875	CA
2	2085N0700X	Neuroradiology Physician	36336	AZ
3	2085R0202X	Diagnostic Radiology Physician	36336	AZ

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

General Provider Information

NPI Number	:	1427014778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUNIL K RAM MD

Provider Business Mailing Address
First Line	:	7151 E RANCHO VISTA DR UNIT 3004
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-1591
Country	:	US
Telephone Number	:	480-686-6792
Fax Number	:	480-323-2839

Provider Business Practice Location Address
First Line	:	2428 SANTA MONICA BLVD
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-2045
Country	:	US
Telephone Number	:	310-315-1000
Fax Number	:

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

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	10/31/2023

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Directions to “ DR. SUNIL K RAM MD” Practice Location

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