Provider Demographics
NPI:1073513693
Name:RAMCHANDANI, MAHESH (MD)
Entity Type:Individual
Prefix:
First Name:MAHESH
Middle Name:
Last Name:RAMCHANDANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN ST
Mailing Address - Street 2:SUITE 1401
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2717
Mailing Address - Country:US
Mailing Address - Phone:713-441-5200
Mailing Address - Fax:713-793-7428
Practice Address - Street 1:6550 FANNIN ST
Practice Address - Street 2:SUITE 1401
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2717
Practice Address - Country:US
Practice Address - Phone:713-441-5200
Practice Address - Fax:713-793-7428
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4463208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127630506Medicaid
TX127630501Medicaid
TX8CF560OtherBCBS
TX127630508Medicaid
TX127630509Medicaid
TX127630507Medicaid
TXP01070318OtherRR MEDICARE
TX1073513693OtherBLUE CROSS BLUE SHIELD
TX89817BOtherBCBS
3750965OtherBCFMG
TXP00829647OtherMEDICARE RAILROAD
TX89817BMedicare PIN
TX8L25420Medicare PIN
TXP01070318OtherRR MEDICARE
TX8CF560OtherBCBS
TX89817BOtherBCBS
F69970Medicare UPIN
TX127630508Medicaid
TXTXB145711Medicare PIN