Provider Demographics
NPI:1164173423
Name:DEVELOPMENTAL NEUROLOGY ASSOCIATES PLLC
Entity Type:Organization
Organization Name:DEVELOPMENTAL NEUROLOGY ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KAIRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-715-6584
Mailing Address - Street 1:2306 N ALEXANDER DR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-3455
Mailing Address - Country:US
Mailing Address - Phone:281-837-3159
Mailing Address - Fax:281-837-3159
Practice Address - Street 1:2306 N ALEXANDER DR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-3455
Practice Address - Country:US
Practice Address - Phone:281-837-3159
Practice Address - Fax:281-837-3159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-18
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyGroup - Single Specialty