# DR. CHRISTINA KLEIN PRAMUDJI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1902893654
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | K4725 | TX | Yes |

## Other

- **Enumeration date:** 09/28/2005
- **Last updated:** 02/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 174630701 | — | TX |
| 05 | — | 174630702 | — | TX |
| 05 | — | 174630704 | — | TX |
| 01 | — | 8656J1 | BLUE CROSS BLUE SHIELD | TX |
| 01 | — | 8BV062 | BLUECROSS BLUESHIELD OF TX | TX |
| 01 | — | P00725225 | RAILROAD MEDICARE | TX |