MEDICARE: RAEMCARE LLC

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	207P00000X	Emergency Medicine Physician	M0624	TX

General Provider Information

NPI Number	:	1356694160
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAEMCARE LLC

Provider Business Mailing Address
First Line	:	25440 INTERSTATE 45 N
Second Line	:	SUITE 200
City	:	THE WOODLANDS
State	:	TX
Zip	:	77386-1343
Country	:	US
Telephone Number	:	281-778-8869
Fax Number	:	832-579-1083

Provider Business Practice Location Address
First Line	:	25440 INTERSTATE 45 N
Second Line	:	SUITE 200
City	:	THE WOODLANDS
State	:	TX
Zip	:	77386-1343
Country	:	US
Telephone Number	:	281-863-9377
Fax Number	:	281-863-9378

Authorized Official
Title or Position	:	OWNER CEO
Name	:	JAMUNA R RAMANATHAN
Credential	:	MBBS,CCC MS MEDICAL
Telephone Number	:	281-778-8869

Provider Enumeration Date	:	10/17/2012
Last Update Date	:	02/24/2015

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Directions to “RAEMCARE LLC ” Practice Location

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