Healthcare Provider Details

I. General information

NPI: 1326740093
Provider Name (Legal Business Name): NITYA PRABAKAR RAMALINGAM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7001 SW 87TH AVE
MIAMI FL
33173-2505
US

IV. Provider business mailing address

16461 NW 16TH ST
PEMBROKE PINES FL
33028-1325
US

V. Phone/Fax

Practice location:
  • Phone: 305-271-8222
  • Fax:
Mailing address:
  • Phone: 954-232-8438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME180095
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: