Provider Demographics
NPI:1447269469
Name:RAMASWAMI, SUKUMARAN R (MD)
Entity type:Individual
Prefix:DR
First Name:SUKUMARAN
Middle Name:R
Last Name:RAMASWAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 5627
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-5627
Mailing Address - Country:US
Mailing Address - Phone:352-873-9696
Mailing Address - Fax:352-873-0699
Practice Address - Street 1:10461 SW HIGHWAY 484
Practice Address - Street 2:
Practice Address - City:DUNNELLON
Practice Address - State:FL
Practice Address - Zip Code:34432-5741
Practice Address - Country:US
Practice Address - Phone:352-873-9696
Practice Address - Fax:352-873-0699
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2009-05-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME70656207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL250482100Medicaid
FL32149AMedicare PIN
FL250482100Medicaid