Provider Demographics
NPI:1114039146
Name:RAMASWAMI, NEERRAJAH (BDS, MS, MPH)
Entity type:Individual
Prefix:DR
First Name:NEERRAJAH
Middle Name:
Last Name:RAMASWAMI
Suffix:
Gender:F
Credentials:BDS, MS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2648 ELDERBERRY DR
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48864-4605
Mailing Address - Country:US
Mailing Address - Phone:517-579-8859
Mailing Address - Fax:810-768-7584
Practice Address - Street 1:806 TUURI PL
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-2465
Practice Address - Country:US
Practice Address - Phone:810-768-7583
Practice Address - Fax:810-768-7584
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010192791223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4895131Medicaid