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NPI Code Detail

MEDICARE: RAMANA SURYA DO

MEDICARE: RAMANA SURYA DO
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
12084P0800XPsychiatry PhysicianL1473TX
22084P0800XPsychiatry Physician13341-321WI
32084P0800XPsychiatry Physician036177462IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144260621
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMANA SURYA DO
Provider Business Mailing Address
First Line : 3835 N FREEWAY BLVD STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1954
Country : US
Telephone Number : 855-501-1004
Fax Number :
Provider Business Practice Location Address
First Line : 24275 KATY FWY STE 410
Second Line :
City : KATY
State : TX
Zip : 77494-7267
Country : US
Telephone Number : 855-501-1004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 06/04/2026

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Directions to “ RAMANA SURYA DO” Practice Location

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