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NPI Code Detail

MEDICARE: CHITTA VENKATA RAM M.D.

MEDICARE: CHITTA VENKATA RAM 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
1207R00000XInternal Medicine PhysicianE9344TX

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 : 1740251677
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHITTA VENKATA RAM M.D.
Provider Business Mailing Address
First Line : 1420 VICEROY DR
Second Line :
City : DALLAS
State : TX
Zip : 75235-2208
Country : US
Telephone Number : 214-358-2300
Fax Number : 214-366-6127
Provider Business Practice Location Address
First Line : 13154 COIT RD
Second Line : SUITE 100
City : DALLAS
State : TX
Zip : 75240-5773
Country : US
Telephone Number : 214-358-2300
Fax Number : 214-366-6430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 08/25/2010

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Directions to “ CHITTA VENKATA RAM M.D.” Practice Location

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