Provider Demographics
NPI:1053481515
Name:DRAMOV, BORINA (MD)
Entity type:Individual
Prefix:DR
First Name:BORINA
Middle Name:
Last Name:DRAMOV
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 1:256 SAN JOSE ST
Mailing Address - Street 2:STE A
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3933
Mailing Address - Country:US
Mailing Address - Phone:831-757-5149
Mailing Address - Fax:831-757-5140
Practice Address - Street 1:256 SAN JOSE ST
Practice Address - Street 2:STE A
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3933
Practice Address - Country:US
Practice Address - Phone:831-757-5149
Practice Address - Fax:831-757-5140
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG115132084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG115130Medicaid
A38370Medicare UPIN
CAG115130Medicaid