Provider Demographics
NPI:1730358532
Name:RAMCHANDANI, AVINASH NARI (MD)
Entity type:Individual
Prefix:DR
First Name:AVINASH
Middle Name:NARI
Last Name:RAMCHANDANI
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:PO BOX 5510
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94581-0510
Mailing Address - Country:US
Mailing Address - Phone:707-252-9660
Mailing Address - Fax:707-258-2780
Practice Address - Street 1:500 DOYLE PARK DR STE 300
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-4559
Practice Address - Country:US
Practice Address - Phone:707-303-8320
Practice Address - Fax:707-546-4062
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2023-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN65952081P2900X
CAA969652081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00861148OtherMEDICARE RAILROAD
TX217394001Medicaid
TXB106944Medicare PIN