Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 51635 | MA |
NPI | 1255385266 |
---|---|
Provider Name | Dr. Shenbagavalli Ramaswami |
First Address | Brockton, MA 02301-1168 |
Second Address | Brockton, MA 02301-1168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011347 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
051635 | TUFTS HEALTH PLAN (01) | MA |
13148 | HARVARDPILGRIM HEALTHCARE (01) | MA |
3007421 | (05) | MA |
31209 | BOSTONMEDICAL HEALTHNET (01) | MA |
512961 | AETNA (01) | MA |
7111286 | CIGNA (01) | MA |
J05614 | BLUE CROSS BLUE SHIELD (01) | MA |
MA0013080 | TRICARE (01) | MA |