Active NPI
Ramiah Krishnan
- Internal Medicine Physician
- Cape Coral, FL
National Provider Identifier
1205240983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME0054933
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053442102 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.