Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 231885 | MA |
N | 111NI0900X | Internist | 231885 | MA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD455047 | PA |
NPI | 1205093978 |
---|---|
Provider Name | Dr. Ramanan Kumareswaran |
First Address | Philadelphia, PA 19104 |
Second Address | Philadelphia, PA 19104-4238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 21/06/2017 |