Provider Demographics
NPI:1326221318
Name:RAMANATH, BELLUR S (MD)
Entity Type:Individual
Prefix:DR
First Name:BELLUR
Middle Name:S
Last Name:RAMANATH
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 1:17323 IH 35 N STE 113
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1278
Mailing Address - Country:US
Mailing Address - Phone:210-543-7334
Mailing Address - Fax:210-314-5044
Practice Address - Street 1:17323 IH 35 N STE 113
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1278
Practice Address - Country:US
Practice Address - Phone:210-543-7334
Practice Address - Fax:210-314-3203
Is Sole Proprietor?:No
Enumeration Date:2007-12-12
Last Update Date:2014-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF8403208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF41518Medicare UPIN
86V700Medicare PIN