MEDICARE: LOGAN RAMJIT DO

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	171000000X	Military Health Care Provider

General Provider Information

NPI Number	:	1437007952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOGAN RAMJIT DO

Provider Business Mailing Address
First Line	:	BROOKE ARMY MEDICAL CENTER INTERNAL MEDICINE RESIDENCY
Second Line	:	3551 ROGER BROOKE DR., JBSA-FORT SAM HOUSTON
City	:	APO
State	:	AA
Zip	:	78234-4504
Country	:	US
Telephone Number	:	210-292-3410
Fax Number	:	210-292-7868

Provider Business Practice Location Address
First Line	:	BROOKE ARMY MEDICAL CENTER INTERNAL MEDICINE RESIDENCY
Second Line	:	3551 ROGER BROOKE DR., JBSA-FORT SAM HOUSTON
City	:	APO
State	:	AA
Zip	:	78234-4504
Country	:	US
Telephone Number	:	210-292-3410
Fax Number	:	210-292-7868

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

Provider Enumeration Date	:	03/19/2026
Last Update Date	:	03/19/2026

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