Provider Demographics
NPI:1942247317
Name:RAMASWAMY, SRINIVASAN (MD)
Entity Type:Individual
Prefix:
First Name:SRINIVASAN
Middle Name:
Last Name:RAMASWAMY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10000 N RODNEY PARHAM RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72227-5548
Mailing Address - Country:US
Mailing Address - Phone:501-221-0888
Mailing Address - Fax:501-221-2769
Practice Address - Street 1:3121 N REYNOLDS RD
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-9191
Practice Address - Country:US
Practice Address - Phone:501-847-3292
Practice Address - Fax:501-213-0573
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2014-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE-4676207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR337151ZHKLOtherMEDICARE