Provider Demographics
NPI:1841216595
Name:RAMASWAMY, GEETHA (MD)
Entity Type:Individual
Prefix:
First Name:GEETHA
Middle Name:
Last Name:RAMASWAMY
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 1:4370 MEDICAL ARTS DR STE 390
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1712
Mailing Address - Country:US
Mailing Address - Phone:972-874-2042
Mailing Address - Fax:
Practice Address - Street 1:4370 MEDICAL ARTS DR STE 390
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1712
Practice Address - Country:US
Practice Address - Phone:972-874-2042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3707207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8W7060OtherBCBS
TX183611601Medicaid
AR178014001Medicaid
TXP00360597OtherRAILROAD MEDICARE
TX8W7060OtherBCBS
TXP00360597OtherRAILROAD MEDICARE
TX8G8103Medicare PIN
TXI66199Medicare UPIN