Basic Information
Provider Information
NPI: 1609801059
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAUNDERS
FirstName: RAMOTSE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 350 PARNASSUS AVE
Address2: SUITE 201
City: SAN FRANCISCO
State: CA
PostalCode: 941173608
CountryCode: US
TelephoneNumber: 4159645137
FaxNumber: 4159645419
Practice Location
Address1: 350 PARNASSUS AVE
Address2: SUITE 201
City: SAN FRANCISCO
State: CA
PostalCode: 941173608
CountryCode: US
TelephoneNumber: 4159645137
FaxNumber: 4159645419
Other Information
ProviderEnumerationDate: 07/12/2006
LastUpdateDate: 12/11/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0015X253743NYN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
2084P0800X253743NYY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0800XC140741CAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P0015XC140741CAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine

No ID Information.


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