Individual
RAMACHANDRA MALYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
212 E CROSSTIMBERS ST, 170, HOUSTON, TX 77022-4407
(713) 692-0518
(713) 692-7697
Mailing address
212 E CROSSTIMBERS ST, 170, HOUSTON, TX 77022-4407
(713) 692-0518
(713) 692-7697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
J3012
TX
207RN0300X
Nephrology Physician
Primary
J3012
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137596610
—
TX
01
—
390003961
MEDICARE RAILROAD
TX
Enumeration date
06/11/2006
Last updated
01/20/2017
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