Provider Demographics
NPI:1194840116
Name:AMIRALI S. POPATIA,M.D.,P.A.
Entity Type:Organization
Organization Name:AMIRALI S. POPATIA,M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:ATKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-633-4083
Mailing Address - Street 1:1603 MAIN ST
Mailing Address - Street 2:SUITE #200
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3226
Mailing Address - Country:US
Mailing Address - Phone:281-344-2273
Mailing Address - Fax:281-344-8007
Practice Address - Street 1:1603 MAIN ST
Practice Address - Street 2:SUITE #200
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3226
Practice Address - Country:US
Practice Address - Phone:281-344-2273
Practice Address - Fax:281-344-8007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1356174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF67747Medicare UPIN
TX8D7453Medicare ID - Type Unspecified