Dr.Amitabh R. Ram MD LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

DR.AMITABH R. RAM MD LLC

Practice address

21 Liberty Dr
Unit B
Hebron, CT 06248-1553

Phone

(860) 228-9300

Fax

(860) 228-4703

NPI assigned

May 23, 2007

Last updated

Dec 3, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lila Ebrahimkhil

Title

Office Manager

Phone

(860) 228-9300

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tricia Rita Pinto, MD

  • Pediatrics Physician
  • Hartford, CT
  • NPI 1851640775
  NPD (past)
• Supriya Kar Atianand, M.D.

  • Pediatrics Physician
  • Palo Alto, CA
  • NPI 1962728873
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1730399379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062480359",
            "telephone_number": "860-228-9300",
            "fax_number": "860-228-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LIBERTY DR",
            "address_2": "UNIT B",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481553",
            "telephone_number": "860-228-9300",
            "fax_number": "860-228-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.AMITABH R. RAM MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "EBRAHIMKHIL",
        "authorized_official_first_name": "LILA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-228-9300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001349720",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004249802",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Marie Crawford, MS, LAT, ATC
• Creative Therapeutics LLC
• Amy Cyr
• Rosemary A Czador Cerreto, RPH
• Evelyn Dedominicis
• Patti C Dunne, PROFESSIONAL COUNSEL
• Erin Joudrey, LLC.
• Malia R Farrar, PT
• Hope Femia, APRN
• Andrew Fennell

• Pediatric Adolescent Medicine Physician in Hebron, CT
• Providers in Hebron, CT by specialty
• Pediatric Adolescent Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.