Healthcare Provider Details

I. General information

NPI: 1063476885
Provider Name (Legal Business Name): TAPAN GIRISH RAMI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 09/24/2021
Certification Date: 09/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6560 FANNIN ST STE 620
HOUSTON TX
77030-2725
US

IV. Provider business mailing address

6560 FANNIN STE 620
HOUSTON TX
77030-4314
US

V. Phone/Fax

Practice location:
  • Phone: 713-791-1978
  • Fax: 713-791-1870
Mailing address:
  • Phone: 713-791-1978
  • Fax: 713-791-1870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberL1179
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberL1179
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: