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NPI Code Detail

MEDICARE: SWAROOP RAMAIAH

MEDICARE:   SWAROOP  RAMAIAH
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine Physician30188WV

General Provider Information

NPI Number : 1821512518
Entity Type Code : Individual
Provider Name (Legal Business Name) : SWAROOP RAMAIAH
Provider Business Mailing Address
First Line : 753 CLASSON AVE APT 4C
Second Line :
City : BROOKLYN
State : NY
Zip : 11238-4683
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4605 MACCORKLE AVE SW
Second Line :
City : SOUTH CHARLESTON
State : WV
Zip : 25309-1398
Country : US
Telephone Number : 304-766-3600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2017
Last Update Date : 09/21/2021

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Directions to “ SWAROOP RAMAIAH ” Practice Location

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