Provider Demographics
NPI:1356694160
Name:RAEMCARE LLC
Entity type:Organization
Organization Name:RAEMCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMUNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAMANATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBBS,CCC MS MEDICAL
Authorized Official - Phone:281-778-8869
Mailing Address - Street 1:25440 INTERSTATE 45 N
Mailing Address - Street 2:SUITE 200
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1343
Mailing Address - Country:US
Mailing Address - Phone:281-778-8869
Mailing Address - Fax:832-579-1083
Practice Address - Street 1:25440 INTERSTATE 45 N
Practice Address - Street 2:SUITE 200
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77386-1343
Practice Address - Country:US
Practice Address - Phone:281-863-9377
Practice Address - Fax:281-863-9378
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAEMCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-17
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0624207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty