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NPI Code Detail

MEDICARE: DR. RUKMINI SATYAMRITHA REDNAM M.D.

MEDICARE: DR. RUKMINI SATYAMRITHA REDNAM 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
12086S0122XPlastic and Reconstructive Surgery PhysicianQ4678TX

General Provider Information

NPI Number : 1477706463
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUKMINI SATYAMRITHA REDNAM M.D.
Provider Business Mailing Address
First Line : 9230 KATY FWY STE 600
Second Line :
City : HOUSTON
State : TX
Zip : 77055-7468
Country : US
Telephone Number : 713-791-0700
Fax Number : 713-791-0703
Provider Business Practice Location Address
First Line : 9230 KATY FWY STE 600
Second Line :
City : HOUSTON
State : TX
Zip : 77055-7468
Country : US
Telephone Number : 713-791-0700
Fax Number : 713-791-0703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2008
Last Update Date : 10/07/2019

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