DR. SUJATHA RAMESH MD
Allergy and Immunology
Buffalo, New York
Provider NPI: 1568414357
Provider Information:DR. SUJATHA RAMESH MD
Practice Location:
219 BRYANT STREET BUFFALO, NY 14222 US
Tel: 716-878-7105 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207K00000X | Physicians Allergy & Immunology | NY | 193843-1 |
| Y | 2080P0201X | Physicians Pediatrics | NY | 193843 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| UNIVERA | 00010144001 | 01 | |
| FIDELIS | 040426000750 | 01 | |
| BC/BS | 000524353001 | 01 | |
| 0016957900001 | PA | 05 | |
| 01576190 | NY | 05 | |
| MEDICAL LICENSE | 193843-1 | NY | 01 |
| IHA | 0207422 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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