| Dr. Padma Ram Medical Services, Llc | |
|
300 State Route 104 Oswego NY 13126-2956 | |
| (315) 342-0030 | |
| (315) 216-6669 |
| Full Name | Dr. Padma Ram Medical Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 State Route 104, Oswego, New York |
| Authorized Official Name and Position | Sunil Ram (CEO) |
| Authorized Official Contact | 3152166687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Padma Ram Medical Services, Llc 300 State Route 104 Oswego NY 13126-2956 Ph: (315) 342-0030 | Dr. Padma Ram Medical Services, Llc 300 State Route 104 Oswego NY 13126-2956 Ph: (315) 342-0030 |
| NPI Number | 1902960800 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 04/04/2022 |
| Medicare PECOS PAC ID | 8325019581 |
|---|---|
| Medicare Enrollment ID | O20040803000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902960800 | NPI | - | NPPES |
| 05983591 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Padma Ram |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003928953 PECOS PAC ID: 1951372119 Enrollment ID: I20100224000008 |
| Provider Name | Katrina L Bonnie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942615026 PECOS PAC ID: 2466670633 Enrollment ID: I20140829001207 |
| Provider Name | Justin Raymond Beebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285128314 PECOS PAC ID: 5799034054 Enrollment ID: I20180820001551 |
| Provider Name | Ruth Mary Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346960556 PECOS PAC ID: 3476921628 Enrollment ID: I20221121000806 |
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