Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | K9464 | TX |
N | 207KA0200X | Allergist | K9464 | TX |
NPI | 1285734947 |
---|---|
Provider Name | Rama Rao Yerramsetti |
First Address | Houston, TX 77024-2403 |
Second Address | Houston, TX 77024-2403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2006 |
Last Update Date | 07/05/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
179930601 | (05) | TX |
179930602 | (05) | TX |
8V4070 | BLUE CROSS BLUE SHIELD (01) | TX |
H22988 | (02) | TX |