Provider Demographics
NPI:1902915663
Name:TOLOUIAN, RAMIN (MD)
Entity Type:Individual
Prefix:
First Name:RAMIN
Middle Name:
Last Name:TOLOUIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 MANATEE AVE W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-1711
Mailing Address - Country:US
Mailing Address - Phone:941-746-5840
Mailing Address - Fax:941-745-3591
Practice Address - Street 1:825 FAIRFAX AVE
Practice Address - Street 2:SUITE 445
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1914
Practice Address - Country:US
Practice Address - Phone:757-446-8920
Practice Address - Fax:757-446-5242
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME128905207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10113089OtherOPTIMA HEALTH
NC1902915663Medicaid
VAPAROtherCORVEL
VA1902915663OtherVIRGINIA PREMIER HEALTH PLAN
VA1902915663Medicaid
VA1902915663OtherUNITED HEALTHCARE
VAPAROtherAETNA
VA-028OtherTRICARE/CHAMPUS
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherCIGNA
VA1902915663OtherCOVENTRY NETWORK
VA491267OtherANTHEM BC/BS
VAPAROtherMULTIPLAN
VAPAROtherUSA MANAGED CARE
VAPAROtherMULTIPLAN
VAPAROtherCIGNA