Provider Demographics
NPI:1053412395
Name:RAMANATHAN, VENKATARAMAN (MBBS)
Entity type:Individual
Prefix:DR
First Name:VENKATARAMAN
Middle Name:
Last Name:RAMANATHAN
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2607 WINSTON CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9134
Mailing Address - Country:US
Mailing Address - Phone:713-798-8350
Mailing Address - Fax:713-798-3510
Practice Address - Street 1:2002 HOLCOMBE BLVD
Practice Address - Street 2:# 111-J
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4211
Practice Address - Country:US
Practice Address - Phone:713-798-8350
Practice Address - Fax:713-798-3510
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8910207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GROUP 5 - 8A8176Medicare PIN
GROUP 3 - 8G1462Medicare PIN