| Ram Bonam Pllc | |
|
2306 York Ave Lubbock TX 79407-2287 | |
| (916) 607-1349 | |
| (707) 261-1232 |
| Full Name | Ram Bonam Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2306 York Ave, Lubbock, Texas |
| Authorized Official Name and Position | Rami Bonam (PRESIDENT) |
| Authorized Official Contact | 9166071349 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ram Bonam Pllc Po Box 64454 Lubbock TX 79464-4454 Ph: (866) 656-7398 | Ram Bonam Pllc 2306 York Ave Lubbock TX 79407-2287 Ph: (916) 607-1349 |
| NPI Number | 1629647417 |
|---|---|
| Provider Enumeration Date | 06/24/2021 |
| Last Update Date | 04/08/2025 |
| Medicare PECOS PAC ID | 2860894730 |
|---|---|
| Medicare Enrollment ID | O20210714003425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629647417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rami Reddy Bonam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821384058 PECOS PAC ID: 5890941710 Enrollment ID: I20180302000998 |
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