Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | J4463 | TX |
NPI | 1073513693 |
---|---|
Provider Name | Mahesh Ramchandani |
First Address | Houston, TX 77030-2717 |
Second Address | Houston, TX 77030-2717 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2005 |
Last Update Date | 22/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1073513693 | BLUE CROSS BLUE SHIELD (01) | TX |
127630501 | (05) | TX |
127630506 | (05) | TX |
127630507 | (05) | TX |
127630508 | (05) | TX |
127630509 | (05) | TX |
3750965 | BCFMG (01) | |
89817B | BCBS (01) | TX |
8CF560 | BCBS (01) | TX |
F69970 | (02) | |
P00829647 | MEDICARE RAILROAD (01) | TX |
P01070318 | RR MEDICARE (01) | TX |