Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | DR.0055243 | CO |
N | 208000000X | Pediatrician | 25MA08645000 | NJ |
Y | 208000000X | Pediatrician | R6018 | TX |
NPI | 1508190935 |
---|---|
Provider Name | Sushma Raman Hebbar |
First Address | Houston, TX 77266-6308 |
Second Address | Houston, TX 77006-2602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2009 |
Last Update Date | 27/03/2018 |