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NPI Code Detail

MEDICARE: NAMRATHA JAN

MEDICARE: NAMRATHA JAN
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
1208000000XPediatrics PhysicianV9023TX

General Provider Information

NPI Number : 1063091304
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAMRATHA JAN
Provider Business Mailing Address
First Line : 6621 FANNIN ST # A
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2399
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6621 FANNIN ST # A
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2399
Country : US
Telephone Number : 832-824-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2021
Last Update Date : 01/26/2026

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Directions to “ NAMRATHA JAN ” Practice Location

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