Individual
DEEPAK RAMANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14839 HILLSIDE AVE, JAMAICA, NY 11435-3330
(929) 777-2234
(718) 744-9728
Mailing address
14839 HILLSIDE AVE, JAMAICA, NY 11435-3330
(929) 777-2234
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
273668-1
NY
208D00000X
General Practice Physician
273668-1
NY
Other
Enumeration date
03/04/2014
Last updated
02/19/2019
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