Provider Demographics
NPI:1538786140
Name:SANTOSH, RAMCHANDANI (MD)
Entity type:Individual
Prefix:MR
First Name:RAMCHANDANI
Middle Name:
Last Name:SANTOSH
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 1:1200 S. CEDAR CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103
Mailing Address - Country:US
Mailing Address - Phone:484-862-3161
Mailing Address - Fax:484-862-3176
Practice Address - Street 1:1200 S. CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103
Practice Address - Country:US
Practice Address - Phone:484-862-3161
Practice Address - Fax:484-862-3176
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-30
Last Update Date:2024-10-15
Deactivation Date:2022-01-17
Deactivation Code:
Reactivation Date:2022-04-26
Provider Licenses
StateLicense IDTaxonomies
282N00000X
PAMD479566207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology