Individual
POONGODHAI RAMACHANDRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L9046
TX
207RC0000X
Cardiovascular Disease Physician
Primary
L9046
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171419802
—
TX
01
—
81962S
BCBS
TX
Enumeration date
05/27/2006
Last updated
11/20/2015
Update your record
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