Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | P8406 | TX |
Y | 2080P0205X | Pediatric Endocrinologist | P8406 | TX |
NPI | 1114213386 |
---|---|
Provider Name | Ranjana Regunatha Sarma |
First Address | Edinburg, TX 78539-8278 |
Second Address | Edinburg, TX 78539-8278 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2011 |
Last Update Date | 01/07/2014 |