Provider Demographics
NPI:1184221012
Name:EVEREST SMMR LLC
Entity Type:Organization
Organization Name:EVEREST SMMR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SOHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:832-628-4446
Mailing Address - Street 1:2245 TEXAS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1468
Mailing Address - Country:US
Mailing Address - Phone:832-286-1108
Mailing Address - Fax:832-308-1272
Practice Address - Street 1:2245 TEXAS DR STE 300
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1468
Practice Address - Country:US
Practice Address - Phone:832-286-1108
Practice Address - Fax:832-308-1272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty