Kumara Rama, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

4301040250 Issued in MI

Practice address

23829 Little Mack
Suite 200
St Clair Shores, MI 48080-1113

Phone

(586) 772-4444

Fax

(586) 772-4411

NPI assigned

Sep 28, 2005

Sex

Male

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": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1487641148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23829 LITTLE MACK",
            "address_2": "SUITE 200",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801113",
            "telephone_number": "586-772-4444",
            "fax_number": "586-772-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23829 LITTLE MACK",
            "address_2": "SUITE 200",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801113",
            "telephone_number": "586-772-4444",
            "fax_number": "586-772-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMA",
        "first_name": "KUMARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-28",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MI",
            "license": "4301040250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1846939",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "020H21281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eraad Mohammed Rahman
• Christal Dawn Raica
• Paavan P Railan, MD
• Rainy Day Therapy PLLC
• Monica Arora Rajurs, D.M.D.
• Raminta I. Mastis, D.D.S., P.C.
• Majed A Rammouni, MD
• Himani Rana, FNP-C
• Ketan G Rana, MD
• Jennifer Elaine Rankin

• Vascular Surgery Physician in St Clair Shores, MI
• Providers in St Clair Shores, MI by specialty
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.