Provider Demographics
NPI:1104002906
Name:RAMASAMY, MALAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MALAR
Middle Name:
Last Name:RAMASAMY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:105 COLLIER RD NW
Mailing Address - Street 2:SUITE 3040
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1710
Mailing Address - Country:US
Mailing Address - Phone:404-355-7375
Mailing Address - Fax:404-350-9781
Practice Address - Street 1:105 COLLIER RD NW
Practice Address - Street 2:SUITE 3040
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1710
Practice Address - Country:US
Practice Address - Phone:404-355-7375
Practice Address - Fax:404-350-9781
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-11
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01061937A207R00000X
GA72639207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine