MEDICARE: RAMINA HEYDARLOU

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	122300000X	Dentist	107724	CA
2	1223G0001X	General Practice Dentistry	107724	CA
3	122300000X	Dentist	39175	TX

General Provider Information

NPI Number	:	1619604832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMINA HEYDARLOU

Provider Business Mailing Address
First Line	:	100 S AMERICAS AVE STE A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-6901
Country	:	US
Telephone Number	:	915-858-5862
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 S AMERICAS AVE STE A
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79907-6901
Country	:	US
Telephone Number	:	915-858-5862
Fax Number	:

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

Provider Enumeration Date	:	08/07/2022
Last Update Date	:	02/22/2023

Similar Medicare Providers

1821523473 — ALAMEDA DENTAL CARE, PLLC
Practice Location Address:

100 S AMERICAS AVE
EL PASO, TX
79907-6901

Practice Phone: 915-858-5862
Practice Fax: 844-800-0070

1376536532 — DAVID THOMPSON HOLDEN DMD
Practice Location Address:

6901 HELEN OF TROY STE E2
EL PASO, TX
79911-3130

Practice Phone: 915-581-3391
Practice Fax: 915-584-5089

1730139635 — DR. BRYAN PATRICK KALISH D.D.S., M.S.
Practice Location Address:

6901 HELEN OF TROY STE A
EL PASO, TX
79911-3049

Practice Phone: 637-192-9130
Practice Fax: 915-581-9797

1205947033 — DR. BLAKE ELDEN WAYMAN
Practice Location Address:

6901 HELEN OF TROY DRIVE, BLDG C
EL PASO, TX
79911-3043

Practice Phone: 915-581-8090
Practice Fax:

1649333097 — DR. DANIEL CASTRO DDS
Practice Location Address:

6901 HELEN OF TROY , BUILDING C
EL PASO, TX
79911-3043

Practice Phone: 915-581-8070
Practice Fax: 915-231-9400

1912169921 — OSAMA IBRAHIM IBRAHIM NAGA M.D.
Practice Location Address:

6901 HELEN OF TROY , SUITE E-1
EL PASO, TX
79911-3043

Practice Phone: 915-351-0302
Practice Fax: 915-351-0320

Directions to “ RAMINA HEYDARLOU ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.