MEDICARE: RAMAN KUMAR ISHWAR DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171000000X	Military Health Care Provider

General Provider Information

NPI Number	:	1457119919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMAN KUMAR ISHWAR DO

Provider Business Mailing Address
First Line	:	PSC 475 BOX 1
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96350-1200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 475 BOX 1
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96350-1200
Country	:	US
Telephone Number	:	315-370-4211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2024
Last Update Date	:	06/12/2026

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Directions to “ RAMAN KUMAR ISHWAR DO” Practice Location

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