Provider Demographics
NPI:1669590444
Name:BENHAMMOU, RANIA OUKHMANOU (MD)
Entity type:Individual
Prefix:
First Name:RANIA
Middle Name:OUKHMANOU
Last Name:BENHAMMOU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GHANIA
Other - Middle Name:
Other - Last Name:OUKHMANOU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:9625A SOLANA VISTA LOOP
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-8538
Mailing Address - Country:US
Mailing Address - Phone:512-614-1356
Mailing Address - Fax:
Practice Address - Street 1:4700 SETON CENTER PARKWAY. SUITE 125
Practice Address - Street 2:NORTHWEST PEDIATRICS AND ADOLESCENTS
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759
Practice Address - Country:US
Practice Address - Phone:512-338-8500
Practice Address - Fax:512-338-8511
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5631208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics