MEDICARE: DR. MAHALAKSHMI RAMCHANDRA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	K9637	TX
2	208000000X	Pediatrics Physician	MD119802	MO

General Provider Information

NPI Number	:	1013951649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAHALAKSHMI RAMCHANDRA M.D.

Provider Business Mailing Address
First Line	:	3010 CEDAR RIDGE TRL
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-5034
Country	:	US
Telephone Number	:	281-614-2445
Fax Number	:	281-614-1002

Provider Business Practice Location Address
First Line	:	2251 FM 646 WEST, SUITE 155
Second Line	:
City	:	DICKINSON
State	:	TX
Zip	:	77539-3235
Country	:	US
Telephone Number	:	281-614-2445
Fax Number	:	281-614-1002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	11/21/2007

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Directions to “ DR. MAHALAKSHMI RAMCHANDRA M.D.” Practice Location

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