Provider Demographics
NPI:1720175797
Name:LAXMAN, RAMA (MD)
Entity type:Individual
Prefix:DR
First Name:RAMA
Middle Name:
Last Name:LAXMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAMASAMY
Other - Middle Name:
Other - Last Name:LAKSHMANAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1776 WOODSTEAD CT STE 101
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1450
Mailing Address - Country:US
Mailing Address - Phone:281-419-6466
Mailing Address - Fax:281-681-6470
Practice Address - Street 1:1776 WOODSTEAD CT STE 101
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1450
Practice Address - Country:US
Practice Address - Phone:281-419-6466
Practice Address - Fax:281-419-6470
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2008-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK 6073207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00430556OtherRAILROAD MEDICARE
TX8F4931Medicare PIN
G76904Medicare UPIN