Provider Demographics
NPI:1932141686
Name:SURESH, RAMAPRIYA (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMAPRIYA
Middle Name:
Last Name:SURESH
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 1:1111 HIGHWAY 6 STE 192
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4900
Mailing Address - Country:US
Mailing Address - Phone:713-553-3540
Mailing Address - Fax:281-494-2728
Practice Address - Street 1:1111 HWY 6
Practice Address - Street 2:SUITE 192
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478
Practice Address - Country:US
Practice Address - Phone:713-553-3540
Practice Address - Fax:281-494-2728
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8209207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D2057Medicare ID - Type Unspecified
TXI20935Medicare UPIN