Provider Demographics
NPI:1306936604
Name:RAMPRASAD, VATSALA (MD)
Entity type:Individual
Prefix:
First Name:VATSALA
Middle Name:
Last Name:RAMPRASAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13579
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19612-3579
Mailing Address - Country:US
Mailing Address - Phone:484-628-1324
Mailing Address - Fax:610-876-8483
Practice Address - Street 1:160 E ERIE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1011
Practice Address - Country:US
Practice Address - Phone:215-427-5085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-15
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA045263002080P0214X, 2080S0012X
PAMD038724L2080S0012X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3K5981OtherHEALTHNET
NJ4266442OtherCIGNA
NJ0766874000OtherAMERIHEALTH/KEYSTONE/IBC
NJ010003847OtherAMERICHOICE
NJ1127080OtherHORIZON NJ HEALTH
NJ2497000Medicaid
NJ348668OtherAMERIHEALTH PPO/PA BS
NH24742OtherUNIVERSITY HEALTH PLAN
NJP2117185OtherOXFORD
NJ2969235OtherAETNA
NJ754942OtherUNITED HEALTHCARE
NJ010003847OtherAMERICHOICE
NJ2969235OtherAETNA