| Doctor Name: | EVAN ROGERS RANSOM |
| NPI Number: | 1134285091 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 259357 |
| Business Practice Address: | 1000 S Eliseo Dr Suite 103 Greenbrae, CA - 949042133 |
| Business Phone Number: | 2154690927 |
| Business Fax Number: | |
| Mailing Address: | 1000 S Eliseo Dr, Suite 103 GREENBRAE |
| State: | CA |
| Postal Code: | 949042133 |
| Phone Number: | 2154690927 |
| Fax Number: | |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 10/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | 259357 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |