Healthcare Provider Details

I. General information

NPI: 1295769818
Provider Name (Legal Business Name): RAVI RAMASWAMI, MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

854 ROUTE 212
SAUGERTIES NY
12477-4619
US

IV. Provider business mailing address

854 ROUTE 212
SAUGERTIES NY
12477-4619
US

V. Phone/Fax

Practice location:
  • Phone: 845-246-2804
  • Fax: 845-246-0245
Mailing address:
  • Phone: 845-246-2804
  • Fax: 845-246-0245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number151546
License Number StateNY

VIII. Authorized Official

Name: DR. RAVI RAMASWAMI
Title or Position: OWNER
Credential: M.D.
Phone: 845-246-2804