Individual
DR. SUJATHA RAMESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 BRYANT STREET, BUFFALO, NY 14222-2006
(716) 878-7105
(716) 888-3041
Mailing address
4511 HARLEM ROAD, SUITE 202, AMHERST, NY 14226-3822
(716) 839-6720
(716) 839-6740
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
193843-1
NY
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
193843
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010144001
UNIVERA
—
01
—
000524353001
BC/BS
—
05
—
0016957900001
—
PA
05
—
01576190
—
NY
01
—
0207422
IHA
—
01
—
040426000750
FIDELIS
—
01
—
193843-1
MEDICAL LICENSE
NY
Enumeration date
05/17/2006
Last updated
12/26/2008
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