Healthcare Provider Details

I. General information

NPI: 1497687230
Provider Name (Legal Business Name): SIVARAMAKRISHNAN RAMANARAYANAN MD, DM , MRCP (UK)
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

750 E ADAMS ST
SYRACUSE NY
13210-2306
US

IV. Provider business mailing address

6899 PAGE HOLLOW PL
FAYETTEVILLE NY
13066-9713
US

V. Phone/Fax

Practice location:
  • Phone: 315-464-5540
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number342329
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: