Active NPI
Ramakrishna Pemmaraju Rao MD
- Child & Adolescent Psychiatry Physician
- Benbrook, TX
National Provider Identifier
1821356353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- H5290
- 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 MD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 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
National Provider Directory
National Provider Directory- Tax ID family
- Ramakrishna Pemmaraju Rao MD
- 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.
-
- Child & Adolescent Psychiatry Physician
- McKinney, TX
- NPI 1982864229
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.