MEDICARE: DR. RAJESH RAMINENI MD

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	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	P9702	TX
2	207RC0000X	Cardiovascular Disease Physician	P9702	TX
3	207RI0011X	Interventional Cardiology Physician	P9702	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P9702	OTHER	TX	MD LICENSE

General Provider Information

NPI Number	:	1134320245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJESH RAMINENI MD

Provider Business Mailing Address
First Line	:	603 S CONROE MEDICAL DR STE 140
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-5395
Country	:	US
Telephone Number	:	936-978-0466
Fax Number	:	936-978-0469

Provider Business Practice Location Address
First Line	:	603 S CONROE MEDICAL DR STE 140
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77304-5395
Country	:	US
Telephone Number	:	936-978-0466
Fax Number	:	936-978-0469

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	11/07/2025

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