Individual
RAGUPATHY VELUSWAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 552-3054
(570) 552-3056
Mailing address
3 MORRIS CIR, DALLAS, PA 18612-9092
(570) 674-0590
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD432927
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3697801
—
NJ
Enumeration date
10/03/2006
Last updated
11/10/2011
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