MEDICARE: MR. M. SALIM RATNANI 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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	18570	WV

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	:	1568441376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. M. SALIM RATNANI MD

Provider Business Mailing Address
First Line	:	3100 MACCORKLE AVE SE
Second Line	:	SUITE 811
City	:	CHARLESTON
State	:	WV
Zip	:	25304-1223
Country	:	US
Telephone Number	:	304-720-1875
Fax Number	:	304-720-1878

Provider Business Practice Location Address
First Line	:	3100 MACCORKLE AVE SE
Second Line	:	SUITE 811
City	:	CHARLESTON
State	:	WV
Zip	:	25304-1223
Country	:	US
Telephone Number	:	304-720-1875
Fax Number	:	304-720-1878

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	07/08/2007

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