Individual
DR. DAMODHAR PATTABIRAMAN SURESH
Active
Individual
DR. DAMODHAR PATTABIRAMAN SURESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35-06-8603-S
OH
207RC0000X
Cardiovascular Disease Physician
37142
KY
207RI0011X
Interventional Cardiology Physician
01085789A
IN
207RI0011X
Interventional Cardiology Physician
Primary
37142
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0369016
MEDICARE
KY
01
—
0369209
MEDICARE
KY
01
—
0562616
MEDICARE
KY
01
—
060067789
RAILROAD MEDICARE
—
01
—
0969497
MEDICARE PTAN
KY
05
—
2000420
—
OH
01
—
50024711
PASSPORT MEDICAID
KY
01
—
611300608064
CARESOURCE
OH
05
—
64962830
—
KY
01
—
P00893681
RAILROAD MEDICARE
OH
01
—
P00922859
RAIL ROAD MEDICARE
KY
Enumeration date
07/05/2005
Last updated
12/18/2025
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