Basic Information
Provider Information
NPI: 1417302324
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMAKAR
FirstName: AASHUTOSH
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1290 SILAS DEANE HWY
Address2:  
City: WETHERSFIELD
State: CT
PostalCode: 061094337
CountryCode: US
TelephoneNumber: 8609729093
FaxNumber: 8609727040
Practice Location
Address1: 540 LITCHFIELD ST
Address2:  
City: TORRINGTON
State: CT
PostalCode: 067906679
CountryCode: US
TelephoneNumber: 8604969669
FaxNumber: 8604961524
Other Information
ProviderEnumerationDate: 04/28/2016
LastUpdateDate: 07/05/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/05/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X069048CTY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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