Provider Demographics
NPI:1164619441
Name:RAMASWAMY, PADMA (NP)
Entity Type:Individual
Prefix:MRS
First Name:PADMA
Middle Name:
Last Name:RAMASWAMY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:PADMAVATHY
Other - Middle Name:
Other - Last Name:RAMASWAMY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 66308
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77266
Mailing Address - Country:US
Mailing Address - Phone:713-830-3027
Mailing Address - Fax:713-559-3255
Practice Address - Street 1:10711 KIPP WAY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-2675
Practice Address - Country:US
Practice Address - Phone:281-628-2050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX705027363L00000X
TXAP113184363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX080462703Medicaid