Provider Demographics
NPI:1710373410
Name:RAMASWAMY, APOORVA TEWARI (MD)
Entity Type:Individual
Prefix:MRS
First Name:APOORVA
Middle Name:TEWARI
Last Name:RAMASWAMY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:APOORVA
Other - Middle Name:TEWARI
Other - Last Name:TEWARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2521 STOCKTON BLVD SUITE 7200
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817
Mailing Address - Country:US
Mailing Address - Phone:916-734-2801
Mailing Address - Fax:916-703-5011
Practice Address - Street 1:2521 STOCKTON BLVD SUITE 7200
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-734-2801
Practice Address - Fax:916-703-5011
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-09
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA167216207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program