Healthcare Provider Details

I. General information

NPI: 1043262595
Provider Name (Legal Business Name): VANDANA RAMASWAMY CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DONNA RAMASWAMY CPNP

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 03/21/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 CLIFTON RD NE
ATLANTA GA
30322
US

IV. Provider business mailing address

2148 OAKAWANA DR NE
ATLANTA GA
30345-3549
US

V. Phone/Fax

Practice location:
  • Phone: 404-256-2593
  • Fax: 404-321-9688
Mailing address:
  • Phone: 404-447-1440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberRN150908
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberRN150908
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number150908
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: