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NPI Code Detail

MEDICARE: EXCEL HEALTH MD PLLC

MEDICARE: EXCEL HEALTH MD PLLC
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
1207RB0002XObesity Medicine (Internal Medicine) PhysicianM5457TX

General Provider Information

NPI Number : 1063904415
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCEL HEALTH MD PLLC
Provider Business Mailing Address
First Line : 150 BRAND STE 100
Second Line :
City : MURPHY
State : TX
Zip : 75094-3726
Country : US
Telephone Number : 972-752-3199
Fax Number : 972-759-9051
Provider Business Practice Location Address
First Line : 150 BRAND STE 100
Second Line :
City : MURPHY
State : TX
Zip : 75094-3726
Country : US
Telephone Number : 972-752-3199
Fax Number : 972-759-9051
Authorized Official
Title or Position : OWNER
Name : DR. INDRANI RAMAN
Credential : MD
Telephone Number : 972-752-3199
Provider Enumeration Date : 06/01/2018
Last Update Date : 02/19/2020

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