Basic Information
Provider Information
NPI: 1699012575
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GUMBER
FirstName: RAMNIKA
MiddleName: IQBAL SINGH
NamePrefix: DR.
NameSuffix:  
Credential: M.B.B.S.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1830 E. MONUMENT STREET
Address2: 4TH FLOOR, SUITE 416
City: BALTIMORE
State: MD
PostalCode: 21287
CountryCode: US
TelephoneNumber: 4109555268
FaxNumber: 4103672258
Practice Location
Address1: 1830 E. MONUMENT STREET
Address2: 4TH FLOOR, SUITE 416
City: BALTIMORE
State: MD
PostalCode: 21287
CountryCode: US
TelephoneNumber: 4109555268
FaxNumber: 4103672258
Other Information
ProviderEnumerationDate: 01/11/2013
LastUpdateDate: 07/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300X274479WVY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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