MEDICARE: DEVANHALLI RAMASWAMY 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	207RC0000X	Cardiovascular Disease Physician	0101021655	VA

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

General Provider Information

NPI Number	:	1710997853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEVANHALLI RAMASWAMY M.D.

Provider Business Mailing Address
First Line	:	21495 RIDGETOP CIR STE 102
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20166-6512
Country	:	US
Telephone Number	:	703-433-5000
Fax Number	:	703-444-3921

Provider Business Practice Location Address
First Line	:	21495 RIDGETOP CIR STE 102
Second Line	:
City	:	STERLING
State	:	VA
Zip	:	20166-6512
Country	:	US
Telephone Number	:	703-433-5000
Fax Number	:	703-444-3921

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	08/18/2008

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