Provider Demographics
NPI:1942262720
Name:RAMANATHAN, DEBORAH (MD)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:RAMANATHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 JUNIPER ST
Mailing Address - Street 2:P.O. BOX 560
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-0560
Mailing Address - Country:US
Mailing Address - Phone:215-536-6000
Mailing Address - Fax:215-536-6002
Practice Address - Street 1:241 JUNIPER ST
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1601
Practice Address - Country:US
Practice Address - Phone:215-536-6000
Practice Address - Fax:215-536-6002
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD029407E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0962951Medicaid
PAB40468Medicare UPIN
PA165084Medicare PIN