Provider Demographics
NPI:1831222694
Name:RAMKISHUN, LOAKHNAUTH (MD)
Entity type:Individual
Prefix:DR
First Name:LOAKHNAUTH
Middle Name:
Last Name:RAMKISHUN
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 1:6150 METROWEST BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3289
Mailing Address - Country:US
Mailing Address - Phone:407-291-2620
Mailing Address - Fax:407-291-2625
Practice Address - Street 1:6150 METROWEST BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3289
Practice Address - Country:US
Practice Address - Phone:407-291-2620
Practice Address - Fax:407-291-2625
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67252207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL377213600Medicaid
FL26515WMedicare PIN
FLF96634Medicare UPIN