Provider Demographics
NPI:1245245687
Name:RAMASWAMY, ANNU (MD)
Entity Type:Individual
Prefix:MR
First Name:ANNU
Middle Name:
Last Name:RAMASWAMY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 W HAMPDEN AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2129
Mailing Address - Country:US
Mailing Address - Phone:303-762-0900
Mailing Address - Fax:303-762-1744
Practice Address - Street 1:14100 E JEWELL AVE STE 15
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5678
Practice Address - Country:US
Practice Address - Phone:720-748-7072
Practice Address - Fax:720-748-7074
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2017-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO38416209800000X, 2083P0500X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No209800000XAllopathic & Osteopathic PhysiciansLegal Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COF35135Medicare UPIN