Provider Demographics
NPI:1972579803
Name:DHEKNE, RAMESH DAMODAR (MD)
Entity type:Individual
Prefix:
First Name:RAMESH
Middle Name:DAMODAR
Last Name:DHEKNE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:310 LINDENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-6906
Mailing Address - Country:US
Mailing Address - Phone:713-467-5414
Mailing Address - Fax:
Practice Address - Street 1:6720 BERTNER ST
Practice Address - Street 2:NUCLEAR MEDICINE, MC: 3-261
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2604
Practice Address - Country:US
Practice Address - Phone:832-355-3126
Practice Address - Fax:832-355-3363
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE5050207UN0902X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1299588Medicaid
86R052Medicare ID - Type Unspecified