Provider Demographics
NPI:1114213386
Name:REGUNATHA SARMA, RANJANA (MD)
Entity Type:Individual
Prefix:
First Name:RANJANA
Middle Name:
Last Name:REGUNATHA SARMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RANJANA
Other - Middle Name:
Other - Last Name:SARMA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5105 S MCCOLL RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8278
Mailing Address - Country:US
Mailing Address - Phone:956-307-9254
Mailing Address - Fax:949-863-2674
Practice Address - Street 1:5105 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8278
Practice Address - Country:US
Practice Address - Phone:956-307-9254
Practice Address - Fax:949-863-2674
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01069568A390200000X
TXP84062080P0205X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208000000XAllopathic & Osteopathic PhysiciansPediatrics