Supriya Ramanathan MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SUPRIYA RAMANATHAN MD PA

Practice address

5103 Braeburn Dr
Bellaire, TX 77401-4901

Phone

(832) 524-0998

NPI assigned

Nov 20, 2018

Last updated

Nov 20, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Supriya Ramanathan, MDNPI 1821099128

Title

Owner

Phone

(832) 824-6602

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Supriya Ramanathan, M.D.

  • Pediatrics Physician
  • Houston, TX
  • NPI 1821099128
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1053880070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 BRAEBURN DR",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014901",
            "telephone_number": "832-524-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 BRAEBURN DR",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014901",
            "telephone_number": "832-524-0998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5103 Braeburn Dr",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774014901",
            "country_code": "US",
            "telephone_number": "832-524-0998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPRIYA RAMANATHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "RAMANATHAN",
        "authorized_official_first_name": "SUPRIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-824-6602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Kay Sturm, MD
• Anne Su, PSY.D.
• Summit Diagnostics I LLC
• Summit Family Practice, PLLC
• Sun Primary Care Clinic, PLLC
• Deepa Suresh, M.D.
• Surgical Eye Experts LLC
• John Kilpatrick Surratt, M.D.
• Elisheva Sussman, MS,CCC - SLP
• Christine Swade, M.D.

• Pediatrics Physician in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.