Provider Demographics
NPI:1396730057
Name:RAMASWAMY, PREMA (MD)
Entity type:Individual
Prefix:
First Name:PREMA
Middle Name:
Last Name:RAMASWAMY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:977 48TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2919
Mailing Address - Country:US
Mailing Address - Phone:718-283-8015
Mailing Address - Fax:718-635-7235
Practice Address - Street 1:4802 10TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2844
Practice Address - Country:US
Practice Address - Phone:718-283-7501
Practice Address - Fax:718-635-7235
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2014-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2058232080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY113491197OtherHORIZON HEALTHCARE NY
NY01694751Medicaid
NYRP5823OtherATLANTIS HEALTH
NY205823OtherHIP
NY1000016414OtherAFFINITY HEALTH
NY2333879OtherAETNA USHC HMO
NY5471664OtherAETNA PPO
NY205823-B15OtherHEALTH FIRST
NYBK00900-02OtherAMERICHOICE
NY1B0112OtherEMPIRE BCBS
NY293740301OtherHEALTH PLUS
NY4C0556OtherHEALTH NET
NY1442907 06OtherUNITED HEALTHCARE
NY2699989OtherGHI
NYP417693OtherOXFORD HEALTH
NY2699989OtherGHI
NY4C0556OtherHEALTH NET