Provider Demographics
NPI:1013951649
Name:RAMCHANDRA, MAHALAKSHMI (MD)
Entity Type:Individual
Prefix:DR
First Name:MAHALAKSHMI
Middle Name:
Last Name:RAMCHANDRA
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 1:3010 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 WEST, SUITE 155
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:TX
Practice Address - Zip Code:77539-3235
Practice Address - Country:US
Practice Address - Phone:281-614-2445
Practice Address - Fax:281-614-1002
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9637208000000X
MOMD119802208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXI33883Medicare UPIN
TX8F0613Medicare ID - Type UnspecifiedMEDICARE PROVIDER NO.