1730378456 NPI number — VANDANA S RAMAN MD

Table of content: VANDANA S RAMAN MD (NPI 1730378456)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730378456 NPI number — VANDANA S RAMAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMAN
Provider First Name:
VANDANA
Provider Middle Name:
S
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SHIVDASANI
Provider Other First Name:
VANDANA
Provider Other Middle Name:
S
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1730378456
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6621 FANNIN ST # CC102005
Provider Second Line Business Mailing Address:
SUITE 1020
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77030-2303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-822-3792
Provider Business Mailing Address Fax Number:
832-825-3903

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6621 FANNIN ST # CC102005
Provider Second Line Business Practice Location Address:
SUITE 1020
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-2303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-822-3792
Provider Business Practice Location Address Fax Number:
832-825-3903
Provider Enumeration Date:
10/18/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2080P0205X , with the licence number:  M6351 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)