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NPI Code Detail

MEDICARE: DR. SHRUTI DORAISWAMY RAMACHANDRA MD

MEDICARE:  DR. SHRUTI DORAISWAMY RAMACHANDRA  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
1208M00000XHospitalist Physician342742NY
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1548963481
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHRUTI DORAISWAMY RAMACHANDRA MD
Provider Business Mailing Address
First Line : 5141 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10034-1159
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 10TH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10019-1147
Country : US
Telephone Number : 212-259-6777
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2023
Last Update Date : 05/15/2026

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