Organization Active NPI

Ramakrishna Pemmaraju Rao MD

  • Child & Adolescent Psychiatry Physician
  • Benbrook, TX
National Provider Identifier
1821356353
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
H5290 Issued in TX
Legal business name
RAMAKRISHNA PEMMARAJU RAO MD
Practice address
6410 Southwest Blvd Ste 225
Benbrook, TX 76109-3920
Phone
(214) 551-1008
Fax
(817) 625-3062
NPI assigned
May 3, 2012
Organization subpart
Yes
Parent organization
RAMA PEMMARAJU RAO MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Dr. Ramakrishna Pemmaraju Rao II, M.D
Title
Physcian
Phone
(817) 570-9977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X H5290 TX Primary

Addresses

Primary practice location

6410 Southwest Blvd Ste 225
Benbrook, TX 76109-3920

Mailing address

6410 Southwest Blvd Ste 225
Benbrook, TX 76109-3920
Phone (817) 570-9977

Other names 1

  • Rama Pemmaraju Rao MD Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Ramakrishna Pemmaraju Rao MD2 organizations share this tax ID, including this one
Part of
Ramakrishna Pemmaraju Rao MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6410 Southwest Blvd
Ste 225
Benbrook, TX 76109
Phone (214) 551-1008

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1821356353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 SOUTHWEST BLVD STE 225",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093920",
            "telephone_number": "817-570-9977",
            "fax_number": "817-625-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 SOUTHWEST BLVD STE 225",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093920",
            "telephone_number": "214-551-1008",
            "fax_number": "817-625-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMAKRISHNA PEMMARAJU RAO MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAMA PEMMARAJU RAO MD",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "RAMAKRISHNA",
        "authorized_official_middle_name": "PEMMARAJU",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "817-570-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "H5290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rama Pemmaraju Rao MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Benbrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.