Provider Demographics
NPI:1114090214
Name:RAMA RAO YERRAMSETTI, M.D. P.A.
Entity Type:Organization
Organization Name:RAMA RAO YERRAMSETTI, M.D. P.A.
Other - Org Name:ALLERGY CENTER, P.A.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMA
Authorized Official - Middle Name:RAO
Authorized Official - Last Name:YERRAMSETTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-932-7872
Mailing Address - Street 1:902 FROSTWOOD DRIVE
Mailing Address - Street 2:SUITE 284
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2403
Mailing Address - Country:US
Mailing Address - Phone:713-932-7872
Mailing Address - Fax:713-932-9651
Practice Address - Street 1:902 FROSTWOOD DRIVE
Practice Address - Street 2:SUITE 284
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2403
Practice Address - Country:US
Practice Address - Phone:713-932-7872
Practice Address - Fax:713-932-9651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9464207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0068NLOtherBCBS GROUP PROVIDER NUMBE
TX1779929801Medicaid
TX179929802Medicaid
TX0068NLOtherBCBS GROUP PROVIDER NUMBE