Yannam, Govardhana Rao
Yannam, Govardhana Rao is an individual health care provider with primary practice located at 2060 Space Park Dr Ste 100 , Houston TX 77058-3674. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Yannam, Govardhana Rao can be contacted via phone (281) 333-1703.Contact Information
Primary practice address
2060 Space Park Dr Ste 100
Houston TX 77058-3674
Phone: (281) 333-1703
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 5541 | Nebraska |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 6026 | Georgia |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | Q9558 | Texas |
Profile Details
NPI number | 1023208949 |
---|---|
LBN Legal business name | Yannam, Govardhana Rao |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2007 |
Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023208949 | NPPES |
Texas | MEDICAID | 373627401 |
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