Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | L8910 | TX |
NPI | 1053412395 |
---|---|
Provider Name | Dr. Venkataraman Ramanathan |
First Address | Pearland, TX 77584-9134 |
Second Address | Houston, TX 77030-4211 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 27/11/2020 |