Provider Demographics
NPI:1548505308
Name:RAMESH RAMASWAMY MD PC
Entity type:Organization
Organization Name:RAMESH RAMASWAMY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMASWAMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-830-7707
Mailing Address - Street 1:PO BOX 41165
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85274-1165
Mailing Address - Country:US
Mailing Address - Phone:480-830-7707
Mailing Address - Fax:480-820-6626
Practice Address - Street 1:9101 E BROWN RD
Practice Address - Street 2:SUITE 107
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-4350
Practice Address - Country:US
Practice Address - Phone:480-830-7707
Practice Address - Fax:480-830-6626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-05
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ27153207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty