Ramanathan, Periakaruppan

Ramanathan, Periakaruppan is an individual health care provider with primary practice located at 2535 Bethany Road #110, Sycamore IL 60178. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ramanathan, Periakaruppan can be contacted via phone (815) 756-1434.

Contact Information

Primary practice address
2535 Bethany Road #110 Sycamore IL 60178
Fax: (815) 756-4776
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1235237082
LBN Legal business name Ramanathan, Periakaruppan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235237082 NPPES
Illinois Other 01900093 BLUE CROSS

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