MEDICARE: SARIKA MANOJ RAMACHANDRAN MD

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	207N00000X	Dermatology Physician	262111	NY
2	207N00000X	Dermatology Physician	054168	CT

General Provider Information

NPI Number	:	1427218262
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARIKA MANOJ RAMACHANDRAN MD

Provider Business Mailing Address
First Line	:	5 S MAIN ST STE 511
Second Line	:
City	:	BRANFORD
State	:	CT
Zip	:	06405-3846
Country	:	US
Telephone Number	:	203-481-3419
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 S MAIN ST STE 511
Second Line	:
City	:	BRANFORD
State	:	CT
Zip	:	06405-3846
Country	:	US
Telephone Number	:	203-481-3419
Fax Number	:

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

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	06/24/2015

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