Provider Demographics
NPI:1164681318
Name:QAYYUM ENTERPRISES, LLC
Entity Type:Organization
Organization Name:QAYYUM ENTERPRISES, LLC
Other - Org Name:HEARTWAVE IMAGING & DIAGNOSTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CARDIOVASCULAR TECH/ PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MUJEEBUNNISA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CARDIOVASCULAR TECH
Authorized Official - Phone:281-575-8414
Mailing Address - Street 1:10518 KIPP WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-2400
Mailing Address - Country:US
Mailing Address - Phone:281-575-8414
Mailing Address - Fax:281-575-1189
Practice Address - Street 1:10518 KIPP WAY
Practice Address - Street 2:SUITE B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-2400
Practice Address - Country:US
Practice Address - Phone:281-575-8414
Practice Address - Fax:281-575-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00066104246XC2903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XC2903XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularVascular SpecialistGroup - Multi-Specialty