Provider Demographics
NPI:1730161431
Name:RAMAN, JAY K (MD)
Entity type:Individual
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First Name:JAY
Middle Name:K
Last Name:RAMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:21216 NORTHWEST FWY
Mailing Address - Street 2:SUITE #250
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1439
Mailing Address - Country:US
Mailing Address - Phone:713-423-2600
Mailing Address - Fax:713-426-3204
Practice Address - Street 1:21216 NORTHWEST FWY
Practice Address - Street 2:SUITE #250
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1439
Practice Address - Country:US
Practice Address - Phone:713-423-2600
Practice Address - Fax:713-426-3204
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2017-03-07
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Provider Licenses
StateLicense IDTaxonomies
TXF8989208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1158768Medicaid
TXC20789Medicare UPIN
TX8085JOMedicare PIN