Provider Demographics
NPI:1164801569
Name:MURINGAMPURATH JOHN, DISNI (MD)
Entity Type:Individual
Prefix:
First Name:DISNI
Middle Name:
Last Name:MURINGAMPURATH JOHN
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 1:16811 SOUTHWEST FWY FL 3
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4728
Mailing Address - Country:US
Mailing Address - Phone:281-276-0836
Mailing Address - Fax:281-275-0760
Practice Address - Street 1:16811 SOUTHWEST FWY FL 3
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4728
Practice Address - Country:US
Practice Address - Phone:281-276-0836
Practice Address - Fax:281-275-0760
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6582207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine