DR.AMITABH R. RAM MD LLC (NPI# 1730399379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730399379 |
| Entity Type | Organization |
| Organization Name | DR.AMITABH R. RAM MD LLC |
| Practice Address |
21 Liberty Dr Unit B Hebron CT 06248-1553 |
| Mailing Address |
Po Box 359 Hebron CT 06248-0359 |
| Practice Telephone | 8602289300 |
| Practice Fax Number | 8602284703 |
| Mailing Telephone | 8602289300 |
| Mailing Fax Number | 8602284703 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-12-03 |
| Authorized Official Name | MS. LILA EBRAHIMKHIL (OFFICE MANAGER) |
| Authorized Official Telephone | 8602289300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004249802 | 05 | |
| CT | 001349720 | 05 |
| Street Address |
21 LIBERTY DR UNIT B |
| City | HEBRON |
| State | CT |
| Zip Code | 06248-1553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275998031 | Hebron Dentistry PC | Dentist | 20a Liberty Drive, Hebron, CT 06248 | 2015-12-22 |
| 1679908925 | Christine M Turcotte | Nurse Practitioner | 21b Liberty Dr, Hebron, CT 06248 | 2013-09-05 |
| 1205180205 | Live Well Coaching Inc | Counselor | 269 Church Street, Hebron, CT 06248 | 2012-10-30 |
| 1881866465 | Myriah Wenona Hinchey | Naturopath | 27 Main Street, Hebron, CT 06248 | 2008-03-24 |
| 1780736389 | Elisa Holmes | Dental Hygienist | 20 Liberty Drive, Hebron, CT 06248 | 2007-01-17 |
| 1013066760 | Staff Mates Inc | Home Health | 5 West Main St, Hebron, CT 06248 | 2007-01-10 |
| 1497804660 | Dorothy S Rideout | Dental Hygienist | 20a Liberty Dr., Hebron, CT 06248 | 2007-01-09 |
| 1841348554 | James Walter Bussiere | Dentist | 20 Liberty Dr, Hebron, CT 06248 | 2007-01-08 |
| 1750444634 | Hebron Family Physicians LLC | Family Medicine | 23 A Liberty Drive, Hebron, CT 06248 | 2006-12-19 |
| 1184090458 | Gregory Anderson | Physical Therapist | 117 Main St, Hebron, CT 06248 | 2015-08-20 |
| Find all providers in zip 06248 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246306 | Pediatric Health Associates of Coneecticut, LLC | Pediatrics | 239 Silas Deane Hwy, Wethersfield, CT 06109-1730 | 2019-07-03 |
| 1073943668 | Pediatric Walk In Care LLC | Pediatrics | 141 B Hazard Avenue, Enfield, CT 06082-5412 | 2013-11-18 |
| 1225319445 | Enfield Pediatric Associates,p.c. | Pediatrics | 155 Hazard Ave Ste 14, Enfield, CT 06082-4586 | 2011-09-01 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1326166125 | Mary A. Simon | Pediatrics | 7 Melrose Dr, Farmington, CT 06032-0893 | 2007-03-27 |
| 1376678516 | Sydney Zane Spiesel | Pediatrics | 8 Lunar Dr, Woodbridge, CT 06525-2352 | 2007-02-21 |
| 1649314279 | Charles Ray Jones | Pediatrics | 111 Park St Ste F, New Haven, CT 06511-5412 | 2007-02-16 |
| 1427110469 | Radhika Malhotra | Pediatrics | 100 Bank St, Suite 307, Seymour, CT 06483-2806 | 2006-12-15 |
| 1386704682 | Andrews Adu Adade | Pediatrics | 18 Hillandale Ave, Stamford, CT 06902-2808 | 2006-12-11 |
| 1982706032 | John Gerald Pitegoff | Pediatrics | 1225 Silver St, Middletown, CT 06457-3920 | 2006-09-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR.AMITABH R. RAM MD LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.