Organization Active NPI

Ramiah Krishnan

  • Internal Medicine Physician
  • Cape Coral, FL
National Provider Identifier
1205240983
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0054933 Issued in FL
Legal business name
RAMIAH KRISHNAN
Practice address
126 Del Prado Blvd N
Suit 102
Cape Coral, FL 33909-2713
Phone
(239) 772-8900
Fax
(239) 772-4219
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patty Laux
Title
Manager
Phone
(239) 772-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME0054933 FL Primary

Addresses

Primary practice location

126 Del Prado Blvd N
Suit 102
Cape Coral, FL 33909-2713

Mailing address

126 Del Prado Blvd N
Suit 102
Cape Coral, FL 33909-2713
Phone (239) 772-8900

Other identifiers 1

IdentifierTypeStateIssuer
053442102MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1205240983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 DEL PRADO BLVD N",
            "address_2": "SUIT 102",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092713",
            "telephone_number": "239-772-8900",
            "fax_number": "239-772-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 DEL PRADO BLVD N",
            "address_2": "SUIT 102",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092713",
            "telephone_number": "239-772-8900",
            "fax_number": "239-772-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMIAH KRISHNAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "LAUX",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "239-772-8900"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0054933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053442102",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.