| Sumita Ram, MD | |
|
2275 Deming Way, Madison, WI 53715-1507 | |
| (608) 417-8388 | |
| Not Available |
| Full Name | Sumita Ram |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2275 Deming Way, Madison, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528026341 | NPI | - | NPPES |
| 100337130 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 01041327A (Indiana) | Secondary |
| 208000000X | Pediatrics | 49372-020 (Wisconsin) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Sumita Ram, MD 202 S Park St, Madison, WI 53715-1507 Ph: () - | Sumita Ram, MD 2275 Deming Way, Madison, WI 53715-1507 Ph: (608) 417-8388 |
Dr. Emily Ann Forster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Daniel J Jackson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Csc Box 9988, Madison, WI 53792 Phone: 608-239-3515 | |
Dr. Elma O Sia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4410 Regent St, Madison, WI 53705 Phone: 608-233-9746 | |
Patricia V Staats, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1217 Gilbert Rd, Madison, WI 53711 Phone: 608-274-3636 | |
Michael W Ritter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7610 Sawmill Rd, Madison, WI 53717 Phone: 608-831-1528 | |
Dr. Jesse Roach, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6420 | |
Norris Glick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 317 Knutson Drive, Madison, WI 53704 Phone: 608-301-1791 |