Healthcare Provider Details

I. General information

NPI: 1023113644
Provider Name (Legal Business Name): ANURADHA RAMASWAMY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 TOLL GATE RD
WARWICK RI
02886-2759
US

IV. Provider business mailing address

789 HOWARD AVE 2ND FLOOR
NEW HAVEN CT
06519-1304
US

V. Phone/Fax

Practice location:
  • Phone: 401-273-0641
  • Fax:
Mailing address:
  • Phone: 203-785-4198
  • Fax: 203-737-5453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD18080
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number277332
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: