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NPI Code Detail

MEDICARE: RAMEGOWDA BELAKERE M.D.

MEDICARE: RAMEGOWDA BELAKERE M.D.
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
1207Q00000XFamily Medicine PhysicianT-00520KS
2207Q00000XFamily Medicine PhysicianM7853TX

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 : 1235166687
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMEGOWDA BELAKERE M.D.
Provider Business Mailing Address
First Line : 18220 STATE HIGHWAY 249 STE 490
Second Line :
City : HOUSTON
State : TX
Zip : 77070-4347
Country : US
Telephone Number : 281-737-0587
Fax Number :
Provider Business Practice Location Address
First Line : 11925 SOUTHWEST FWY STE 12
Second Line :
City : STAFFORD
State : TX
Zip : 77477-2300
Country : US
Telephone Number : 281-741-9145
Fax Number : 832-230-0875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/29/2021

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Directions to “ RAMEGOWDA BELAKERE M.D.” Practice Location

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