Provider Demographics
NPI:1336121193
Name:LANKIPALLI, RAMARAO S (MD, MRCP (UK), FACC)
Entity Type:Individual
Prefix:
First Name:RAMARAO
Middle Name:S
Last Name:LANKIPALLI
Suffix:
Gender:M
Credentials:MD, MRCP (UK), FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 W 15TH ST
Mailing Address - Street 2:SUITE 503
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-7751
Mailing Address - Country:US
Mailing Address - Phone:972-596-5522
Mailing Address - Fax:972-596-8976
Practice Address - Street 1:3900 W 15TH ST
Practice Address - Street 2:SUITE 503
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-4727
Practice Address - Country:US
Practice Address - Phone:972-596-5522
Practice Address - Fax:972-596-8976
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-17
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1865207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
I42497Medicare UPIN
TX0A5505Medicare PIN