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DR.AMITABH R. RAM MD LLC
NPI 1730399379
Pediatrics - Adolescent Medicine in Hebron, CT

Active since May 23, 2007CLIA 07D2033548 · Waiver
21 LIBERTY DR, UNIT B, HEBRON, CT 06248(860) 228-9300(860) 228-4703 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr.amitabh R. Ram Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR.AMITABH R. RAM MD LLC (NPI 1730399379) is a healthcare organization registered as an adolescent medicine in Hebron, Connecticut and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through December 5, 2027 and lists Lila Ebrahimkhil, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1730399379
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameDR.AMITABH R. RAM MD LLC
Location Address21 LIBERTY DR, UNIT BHebron, CT 06248-1553
Mailing AddressPo Box 359Hebron, CT 06248-0359 · (860) 228-9300 · Fax (860) 228-4703
Phone(860) 228-9300
Fax(860) 228-4703
Organization SubpartNo
Authorized OfficialLila EbrahimkhilOffice Manager · (860) 228-9300
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 3, 2013
✔ NPI 1730399379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
21 LIBERTY DR, Hebron, CT 06248
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Other Identifiers 3

Medicare UPING74276CT
Medicaid004249802CT
Medicaid001349720CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2033548

Amitabh R Ram, MD, LLC · Hebron, CT
Active · expires Dec 5, 2027
CLIA Number07D2033548
Laboratory TypePhysician Office
Certificate Effective DateDecember 6, 2025
Certificate Expiration DateDecember 5, 2027
Laboratory DirectorAmitabh R. Ram
Laboratory Phone(860) 228-9300
Laboratory LocationAmitabh R Ram, MD, LLC21 B Liberty Drive, Hebron, CT 06248
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AALIYAH JORDAN BLACK PA-C
Physician Assistant
21 LIBERTY DR
HEBRON, CT 06248
Capitol Planning Region (860) 228-9300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr.Amitabh R. Ram MD LLC's NPI number?

The NPI number for Dr.Amitabh R. Ram MD LLC is 1730399379. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Dr.Amitabh R. Ram MD LLC located?

Dr.Amitabh R. Ram MD LLC is located at 21 Liberty Dr Unit B, Hebron, CT 06248. The listed phone number is (860) 228-9300.

What is Dr.Amitabh R. Ram MD LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Does Dr.Amitabh R. Ram MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2033548) is associated with this NPI, valid through December 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr.Amitabh R. Ram MD LLC was last updated on December 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.