Provider Demographics
NPI:1356791347
Name:HARIRAMANI, AIMEE C (PA-C)
Entity type:Individual
Prefix:MS
First Name:AIMEE
Middle Name:C
Last Name:HARIRAMANI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018 KENILWORTH DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6616
Mailing Address - Country:US
Mailing Address - Phone:617-838-6232
Mailing Address - Fax:
Practice Address - Street 1:1816 BROADWAY ST
Practice Address - Street 2:SUITE 110
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5664
Practice Address - Country:US
Practice Address - Phone:281-482-9994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111111363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant