Provider Demographics
NPI:1285694794
Name:RAMASWAMY, KUMARASWAMY KAMMARDI (MD)
Entity type:Individual
Prefix:
First Name:KUMARASWAMY
Middle Name:KAMMARDI
Last Name:RAMASWAMY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:KUMAR
Other - Middle Name:K
Other - Last Name:RAMASWAMY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1 DOYLE CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4092
Mailing Address - Country:US
Mailing Address - Phone:908-757-1000
Mailing Address - Fax:908-757-0564
Practice Address - Street 1:210 MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069
Practice Address - Country:US
Practice Address - Phone:908-757-1000
Practice Address - Fax:908-757-0564
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-27
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07607900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ00670918922209Medicaid
NJ00670918922209Medicaid
NJ071534053472Medicare ID - Type Unspecified