Healthcare Provider Details

I. General information

NPI: 1922048958
Provider Name (Legal Business Name): KRISHNA KUMAR RAMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 01/17/2020
Certification Date: 01/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21212 NORTH WEST FREEWAY 355
CYPRESS TX
77429
US

IV. Provider business mailing address

411 PARK GROVE LN SUITE 310
KATY TX
77450-2449
US

V. Phone/Fax

Practice location:
  • Phone: 281-890-9944
  • Fax: 281-890-9955
Mailing address:
  • Phone: 713-464-9100
  • Fax: 713-468-6183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberL5106
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberL5106
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: