Individual
SUDHA RAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
140 NUTT RD, PHOENIXVILLE HOSPITAL, PHOENIXVILLE, PA 19460-3906
(610) 983-1000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(904) 697-4203
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD064672L
PA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD064672L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0065463
—
NJ
05
—
101363505
—
PA
Enumeration date
08/07/2006
Last updated
09/11/2014
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