Provider Demographics
NPI:1508047275
Name:MAHALAKSHMI RAMCHANDRA MD PA
Entity Type:Organization
Organization Name:MAHALAKSHMI RAMCHANDRA MD PA
Other - Org Name:BAY COLONY PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SESHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMCHANDRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-526-5700
Mailing Address - Street 1:3010 CEDAR RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5034
Mailing Address - Country:US
Mailing Address - Phone:281-614-2445
Mailing Address - Fax:281-614-1002
Practice Address - Street 1:2251 FM 646 RD W STE 155
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-3256
Practice Address - Country:US
Practice Address - Phone:281-614-2445
Practice Address - Fax:281-614-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9637208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty