Provider Demographics
NPI:1669424297
Name:RAMAN, BHARAT B (MBBS, MPH)
Entity type:Individual
Prefix:
First Name:BHARAT
Middle Name:B
Last Name:RAMAN
Suffix:
Gender:M
Credentials:MBBS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 ELM STREET N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102
Mailing Address - Country:US
Mailing Address - Phone:701-239-3700
Mailing Address - Fax:262-928-8484
Practice Address - Street 1:2101 ELM STREET N
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102
Practice Address - Country:US
Practice Address - Phone:701-239-3700
Practice Address - Fax:262-928-8484
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI43487-020207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34130900Medicaid
WI9353OtherDEAN HEALTH INSURANCE
WI9353OtherDEAN HEALTH INSURANCE
WI34130900Medicaid
F84100Medicare UPIN
WI110228531Medicare PIN