Ramdass, Adesh Anthony

Ramdass, Adesh Anthony is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2190. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ramdass, Adesh Anthony can be contacted via phone (631) 686-7654.

Contact Information

Primary practice address
75 N Country Rd Port Jefferson NY 11777-2190
Phone: (631) 686-7654
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 294543 New York

Profile Details

NPI number 1851787832
LBN Legal business name Ramdass, Adesh Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2015
Last updated Sep 8th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851787832 NPPES
New York MEDICAID 1851787832

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