Basic Information
| Provider Information | |||||||||
| NPI: | 1194983460 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAMASWAMY | ||||||||
| FirstName: | KAVITHA | ||||||||
| MiddleName: | |||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | RAMASWAMY | ||||||||
| OtherFirstName: | KAVITHA | ||||||||
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| OtherCredential: | MD | ||||||||
| OtherLastNameType: | 2 | ||||||||
| Mailing Information | |||||||||
| Address1: | 785 5TH AVE | ||||||||
| Address2: | SUITE 3 | ||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7172174218 | ||||||||
| Practice Location | |||||||||
| Address1: | 354 ALEXANDER SPRING RD STE A | ||||||||
| Address2: | |||||||||
| City: | CARLISLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170157451 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172677588 | ||||||||
| FaxNumber: | 7172174217 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/23/2008 | ||||||||
| LastUpdateDate: | 10/05/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/05/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD440400 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | P-22583 | MD | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RN0300X | MD440400 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology | 208M00000X | MD440400 | PA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | P-22583 | 01 | MD | LICENCE NO | OTHER | 102507000 | 05 | PA | MEDICAID |