Provider Demographics
NPI:1548241458
Name:RAMASWAMY, SRIDHAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SRIDHAR
Middle Name:
Last Name:RAMASWAMY
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:100 BLOSSOM ST COX 2
Practice Address - Street 2:HEMATOLOGY ONCOLOGY ASSOCIATES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2617
Practice Address - Country:US
Practice Address - Phone:617-643-3140
Practice Address - Fax:617-643-3170
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2017-01-13
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Provider Licenses
StateLicense IDTaxonomies
MA154003207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA154003OtherTUFTS HEALTH PLAN
MA3190030Medicaid
MAJ19731OtherBCBS MA
MAJ19731OtherBCBS MA
MA154003OtherTUFTS HEALTH PLAN