Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | C52468 | CA |
N | 111NI0900X | Internist | C52468 | CA |
N | 207RC0200X | Critical Care Medicine | C52468 | CA |
Y | 207RP1001X | Pulmonary Disease | C52468 | CA |
NPI | 1013994797 |
---|---|
Provider Name | Murali Ramaswamy |
First Address | Greensboro, NC 27401-1004 |
Second Address | Greensboro, NC 27403-1127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2005 |
Last Update Date | 05/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0244764 | (05) | IA |
36797 | WELLMARK BCBS (01) | IA |
H46634 | (02) |