Basic Information
Provider Information
NPI: 1013935048
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMA
FirstName: ROSALYN
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 337
Address2:  
City: SCARBRO
State: WV
PostalCode: 259170337
CountryCode: US
TelephoneNumber: 3045743960
FaxNumber: 3045742179
Practice Location
Address1: RR2
Address2: NEW RIVER HEALTH- WHIPPLE
City: SCARBRO
State: WV
PostalCode: 25917
CountryCode: US
TelephoneNumber: 3044693345
FaxNumber: 3044692981
Other Information
ProviderEnumerationDate: 07/17/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AM0700X  Y Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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