Provider Demographics
NPI:1053724575
Name:RAMGOPAL, VEENA (DO)
Entity type:Individual
Prefix:DR
First Name:VEENA
Middle Name:
Last Name:RAMGOPAL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1102 BATES AVE STE 1860
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2698
Mailing Address - Country:US
Mailing Address - Phone:832-824-5447
Mailing Address - Fax:832-825-0341
Practice Address - Street 1:1102 BATES AVE STE 1860
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2698
Practice Address - Country:US
Practice Address - Phone:832-824-5447
Practice Address - Fax:832-825-0341
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-03
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT016056208000000X
TXR3408208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics