Provider Demographics
NPI:1326086828
Name:RAMANATHAN, SARASWATHY (MD)
Entity Type:Individual
Prefix:
First Name:SARASWATHY
Middle Name:
Last Name:RAMANATHAN
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 1:490 ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2510
Mailing Address - Country:US
Mailing Address - Phone:415-353-2800
Mailing Address - Fax:
Practice Address - Street 1:490 ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94158-2510
Practice Address - Country:US
Practice Address - Phone:415-353-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD60587207W00000X
CAG87938207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD403026500Medicaid
MDG36121Medicare UPIN
MDG819Medicare ID - Type Unspecified
MD403026500Medicaid