Provider Demographics
NPI:1902552409
Name:RAMAN, GIREESH KUNHI (APRN)
Entity Type:Individual
Prefix:
First Name:GIREESH
Middle Name:KUNHI
Last Name:RAMAN
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9540 LONG LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-0705
Mailing Address - Country:US
Mailing Address - Phone:702-445-8662
Mailing Address - Fax:
Practice Address - Street 1:9540 LONG LAKE AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-0705
Practice Address - Country:US
Practice Address - Phone:702-445-8662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV845932363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health