Provider Demographics
NPI:1114219409
Name:NAMBRON, RAJASREE (MD)
Entity Type:Individual
Prefix:MISS
First Name:RAJASREE
Middle Name:
Last Name:NAMBRON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5419 PRIAMUS DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-1856
Mailing Address - Country:US
Mailing Address - Phone:602-618-8527
Mailing Address - Fax:813-291-7509
Practice Address - Street 1:550 GREENS PKWY STE 150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-4532
Practice Address - Country:US
Practice Address - Phone:713-486-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS9360207RE0101X
AL34160207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism