Provider Demographics
NPI:1215566856
Name:RAMACHANDRAN, VIGNESH (MD)
Entity Type:Individual
Prefix:DR
First Name:VIGNESH
Middle Name:
Last Name:RAMACHANDRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 CLIFFS EDGE DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78733-6014
Mailing Address - Country:US
Mailing Address - Phone:512-431-2236
Mailing Address - Fax:
Practice Address - Street 1:2110 CLIFFS EDGE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78733-6014
Practice Address - Country:US
Practice Address - Phone:512-431-2236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program