Rasa, Gangaram

Rasa, Gangaram is an individual health care provider with primary practice located at 1330 Coshocton Ave , Mount Vernon OH 43050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Rasa, Gangaram can be contacted via phone (740) 393-9000.

Contact Information

Primary practice address
1330 Coshocton Ave Mount Vernon OH 43050
Fax: (740) 392-0167
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25678 Nebraska
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35080950 Ohio

Profile Details

NPI number 1982716379
LBN Legal business name Rasa, Gangaram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982716379 NPPES
Ohio MEDICAID 2317148

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