Provider Demographics
NPI:1700892510
Name:RAMA, SREEDEVI (MD)
Entity Type:Individual
Prefix:
First Name:SREEDEVI
Middle Name:
Last Name:RAMA
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 1:100 OHIO STREET
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:NY
Mailing Address - Zip Code:14103
Mailing Address - Country:US
Mailing Address - Phone:585-798-2865
Mailing Address - Fax:585-798-2867
Practice Address - Street 1:299 WEST AVE
Practice Address - Street 2:
Practice Address - City:ALBION
Practice Address - State:NY
Practice Address - Zip Code:14411
Practice Address - Country:US
Practice Address - Phone:585-589-0862
Practice Address - Fax:585-589-0155
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002504207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0713115OtherINDEPENDENT HEALTH
NY060755799OtherFIDELIS
NY00052833002MEOtherBC/BS OF WNY
NY1609873520OtherMEDICARE GROUP NPI
NYP01002504OtherBLUE CHOICE
NYP020002504OtherBC/BS ROCHESTER
NY00027388301OtherUNIVERA
NY000528333001AOtherBC/BS WNY
NY02722012Medicaid
NY160755799OtherTAX ID
NYP01002504OtherMUNROE PLAN
NY1700892510OtherMEDICARE INDIVIDUAL NPI
NY178500CKOtherPREFERRED CARE
NY178500CKOtherPREFERRED CARE