KOLANDAIVELU RAMASWAMY, MD - NPI NUMBER 1366436628

Summary

Provider Name: KOLANDAIVELU RAMASWAMY, MD

NPI Number: 1366436628

Clasification: Surgery (208600000X)

Organization: ONSLOW SURGICAL CLINIC PA

Address:
1200 NORTH DOWN RIVER ROAD
BOX 434
GRAYLING, MI
ZIP 49738

Phone Number: (989) 348-5900



Detailed Information

Kolandaivelu Ramaswamy, MD is a surgeon in Grayling, MI with 40 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. The assigned NPI number for this provider is 1366436628 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

1200 NORTH DOWN RIVER ROAD
BOX 434
GRAYLING, MI
ZIP 49738
Phone: (989) 348-5900
Fax: (989) 348-4369

The enumeration date for this NPI number is 9/1/2005 and was last updated on 6/16/2008.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 208600000X Surgery 037076 MI Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 1770456 MEDICAID MI
2 D95972 MEDICARE UPIN MI
3 0200004 MEDICARE PIN MI

NPI Record

No. Field Name Field Value
1 NPI 1366436628
2 Entity Type Code 1
3 Provider Last Name Legal Name RAMASWAMY
4 Provider First Name KOLANDAIVELU
5 Provider Credential Text MD
6 Provider First Line Business Practice Location Address 1200 NORTH DOWN RIVER ROAD
7 Provider Second Line Business Practice Location Address BOX 434
8 Provider Business Practice Location Address City Name GRAYLING
9 Provider Business Practice Location Address State Name MI
10 Provider Business Practice Location Address Postal Code 49738
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 9893485900
13 Provider Business Practice Location Address Fax Number 9893484369
14 Provider Enumeration Date 9/1/2005
15 Last Update Date 6/16/2008
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 208600000X
18 Provider License Number 1 037076
19 Provider License Number State Code 1 MI
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 1770456
22 Other Provider Identifier Type Code 1 05
23 Other Provider Identifier State 1 MI
24 Other Provider Identifier 2 D95972
25 Other Provider Identifier Type Code 2 02
26 Other Provider Identifier State 2 MI
27 Other Provider Identifier 3 0200004
28 Other Provider Identifier Type Code 3 08
29 Other Provider Identifier State 3 MI
30 Is Sole Proprietor Y

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This page was last updated on: 11/14/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.