Provider Demographics
NPI:1659317170
Name:RAMESH, VANI (MD,)
Entity Type:Individual
Prefix:
First Name:VANI
Middle Name:
Last Name:RAMESH
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 1:4670 MCDERMOTT RD
Mailing Address - Street 2:STE 202
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7794
Mailing Address - Country:US
Mailing Address - Phone:972-943-0736
Mailing Address - Fax:972-943-7921
Practice Address - Street 1:4670 MCDERMOTT RD
Practice Address - Street 2:STE 202
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7794
Practice Address - Country:US
Practice Address - Phone:972-943-0736
Practice Address - Fax:972-943-7921
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK2265207R00000X
CAA051661207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0038KLOtherBSBS NUMBER
TX5297040OtherCIGNA
TX7988026OtherAETNA
TXF98396Medicare UPIN
TX5297040OtherCIGNA