Provider Demographics
NPI:1487749909
Name:RAJAMANI, GANESH N (DPT)
Entity type:Individual
Prefix:
First Name:GANESH
Middle Name:N
Last Name:RAJAMANI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 58538
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-8538
Mailing Address - Country:US
Mailing Address - Phone:281-554-9885
Mailing Address - Fax:281-554-9887
Practice Address - Street 1:526 ORCHARD ST STE A
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4110
Practice Address - Country:US
Practice Address - Phone:281-554-9885
Practice Address - Fax:281-554-9887
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1083491225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0083777OtherBCBS HMO
TX8T1764OtherBCBS
TX3291703OtherAETNA HMO
320077987001OtherHUMANA TRICARE
TX7851518OtherAETNA NON-HMO
TX160384701Medicaid