Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | P2763 | TX |
Y | 207RI0011X | Interventional Cardiology | P2763 | TX |
NPI | 1003841297 |
---|---|
Provider Name | Dr. Vijay Sitharam Ramanath |
First Address | Dallas, TX 75248-1908 |
Second Address | Plano, TX 75093-8122 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 26/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
310090101 | (05) | TX |