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NPI Code Detail

MEDICARE: RAMY MOHARRAM PA-C

MEDICARE: RAMY MOHARRAM PA-C
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
1363A00000XPhysician Assistant4287AZ
2363AS0400XSurgical Physician Assistant21491CA

General Provider Information

NPI Number : 1568616027
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMY MOHARRAM PA-C
Provider Business Mailing Address
First Line : 17212 N SCOTTSDALE RD APT 3019
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-9609
Country : US
Telephone Number : 301-807-9785
Fax Number :
Provider Business Practice Location Address
First Line : 2121 SANTA MONICA BLVD
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2303
Country : US
Telephone Number : 310-829-8618
Fax Number : 310-829-8607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2008
Last Update Date : 05/05/2026

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Directions to “ RAMY MOHARRAM PA-C” Practice Location

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