Basic Information
Provider Information
NPI: 1780909614
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMAN
FirstName: SURESH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 EAST LIBERTY ST.
Address2: SUITE 555
City: RENO
State: NV
PostalCode: 895011576
CountryCode: US
TelephoneNumber: 7753481900
FaxNumber: 7753481912
Practice Location
Address1: 1 EAST LIBERTY ST.
Address2: SUITE 555
City: RENO
State: NV
PostalCode: 895011576
CountryCode: US
TelephoneNumber: 7753481900
FaxNumber: 7753481912
Other Information
ProviderEnumerationDate: 04/03/2010
LastUpdateDate: 09/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X15149NVY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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