Provider Demographics
NPI:1083938229
Name:RAMANNAGARI, VISHNU KIRAN
Entity Type:Individual
Prefix:
First Name:VISHNU KIRAN
Middle Name:
Last Name:RAMANNAGARI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8271 KARA CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-4872
Mailing Address - Country:US
Mailing Address - Phone:248-882-5404
Mailing Address - Fax:
Practice Address - Street 1:8271 KARA CREEK RD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-4872
Practice Address - Country:US
Practice Address - Phone:248-882-5404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist