Provider Demographics
NPI:1043262595
Name:RAMASWAMY, VANDANA (CPNP)
Entity Type:Individual
Prefix:
First Name:VANDANA
Middle Name:
Last Name:RAMASWAMY
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:
Other - Last Name:RAMASWAMY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPNP
Mailing Address - Street 1:2148 OAKAWANA DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-3549
Mailing Address - Country:US
Mailing Address - Phone:404-447-1440
Mailing Address - Fax:
Practice Address - Street 1:1405 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-256-2593
Practice Address - Fax:404-321-9688
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN150908207RC0000X, 208G00000X
GA150908363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)