1760686273 NPI number — RAMAKRISHNA V CHAVA MD PA

Table of content: (NPI 1760686273)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760686273 NPI number — RAMAKRISHNA V CHAVA MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAMAKRISHNA V CHAVA MD PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760686273
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 540088
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77254-0088
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-850-1190
Provider Business Mailing Address Fax Number:
713-401-0770

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22999 HIGHWAY 59 N
Provider Second Line Business Practice Location Address:
STE 290
Provider Business Practice Location Address City Name:
KINGWOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77339-4412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-312-6313
Provider Business Practice Location Address Fax Number:
281-312-6314
Provider Enumeration Date:
06/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CHAVA
Authorized Official First Name:
RAMAKRISHNA
Authorized Official Middle Name:
V
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
281-312-6314

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207QG0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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