MEDICARE: DR. RAVI RAMASWAMI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	151546-1	NY
2	207Q00000X	Family Medicine Physician	ME142201	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275536054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAVI RAMASWAMI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-1100
Fax Number	:	239-343-1101

Provider Business Practice Location Address
First Line	:	13782 PLANTATION RD STE 201
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33912-4462
Country	:	US
Telephone Number	:	239-343-1100
Fax Number	:	239-343-1101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	03/30/2021

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