Ramila H Gavan, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

ME57056 Issued in FL

Practice address

6401 N Federal Hwy
Fort Lauderdale, FL 33308-1427

Phone

(954) 776-8500

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1457316671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247010890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081427",
            "telephone_number": "954-776-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVAN",
        "first_name": "RAMILA",
        "middle_name": "H",
        "name_prefix": "Prof.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME57056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269556100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "12880",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gastroenterology Institute of Fort Lauderdale
• E Jason Gates, MD
• Elise Susan Gates, LMHC
• Sarah Gaumer
• Victoria Macatangay Gaus, M.D.
• Gavin Psychiatry, LLC
• David Peter Gavin, MD
• Heather Gawad, LMHC
• Debra Gawet
• Olga Gay, CRNA

• Anatomic Pathology & Clinical Pathology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.