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Individual

DR. SHENBAGAVALLI RAMASWAMI

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
830 OAK ST, BROCKTON, MA 02301-1168
(781) 585-9522
(781) 585-9544
Mailing address
830 OAK ST, BROCKTON, MA 02301-1168
(781) 585-9522
(781) 585-9544

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
51635
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0011347
NEIGHBORHOOD HEALTH PLAN
MA
01
051635
TUFTS HEALTH PLAN
MA
01
13148
HARVARDPILGRIM HEALTHCARE
MA
05
3007421
MA
01
31209
BOSTONMEDICAL HEALTHNET
MA
01
512961
AETNA
MA
01
7111286
CIGNA
MA
01
J05614
BLUE CROSS BLUE SHIELD
MA
01
MA0013080
TRICARE
MA
Enumeration date
05/22/2006
Last updated
07/08/2007
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