Provider Demographics
NPI:1083637029
Name:RAMESH, PRIYADARSINI (MD)
Entity Type:Individual
Prefix:
First Name:PRIYADARSINI
Middle Name:
Last Name:RAMESH
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 1:135 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-8213
Mailing Address - Country:US
Mailing Address - Phone:847-215-8858
Mailing Address - Fax:847-215-9478
Practice Address - Street 1:135 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 160
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-8213
Practice Address - Country:US
Practice Address - Phone:847-215-8858
Practice Address - Fax:847-215-9478
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics