Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | 131919 | NY |
Y | 2084N0402X | Child Neurologist | S7251 | TX |
NPI | 1205907649 |
---|---|
Provider Name | Dr. Ram Kairam |
First Address | New York, NY 10032-3722 |
Second Address | Baytown, TX 77520-3455 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 29/04/2021 |