Individual
SRIKALA RAMASWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-1645
(270) 706-2503
Mailing address
PO BOX 2119, ELIZABETHTOWN, KY 42702-2119
(270) 706-1046
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35246
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50016221
PASSPORT
KY
05
—
64030299
—
KY
01
—
P00447825
RAILROAD MEDICARE
KY
Enumeration date
07/07/2006
Last updated
03/20/2008
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