Provider Demographics
NPI:1538330238
Name:RAMAGOSA, RYAN BURKE (MD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:BURKE
Last Name:RAMAGOSA
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 1:70 MIDTOWN PARK EAST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-4140
Mailing Address - Country:US
Mailing Address - Phone:251-289-1786
Mailing Address - Fax:251-544-6406
Practice Address - Street 1:70 MIDTOWN PARK E
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-4140
Practice Address - Country:US
Practice Address - Phone:251-289-1786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-20
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2653207N00000X
VA0116019329207R00000X
AL30863207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine