Provider Demographics
NPI:1700690799
Name:RAMAMURTHY, JAGANMURUGAN
Entity type:Individual
Prefix:
First Name:JAGANMURUGAN
Middle Name:
Last Name:RAMAMURTHY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JAGANMURUGAN
Other - Middle Name:
Other - Last Name:RAMAMURTHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,MS
Mailing Address - Street 1:1515 HOLCOMBE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4000
Practice Address - Country:US
Practice Address - Phone:877-632-6789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10090052208C00000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology