Provider Demographics
NPI:1215226196
Name:INTELESO PROCESS INNOVATION, INC
Entity Type:Organization
Organization Name:INTELESO PROCESS INNOVATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EHTISHAM
Authorized Official - Middle Name:KHALID
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-403-6776
Mailing Address - Street 1:7713 HORSE FERRY RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-5964
Mailing Address - Country:US
Mailing Address - Phone:407-403-6776
Mailing Address - Fax:321-710-7236
Practice Address - Street 1:7713 HORSE FERRY RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-5964
Practice Address - Country:US
Practice Address - Phone:407-403-6776
Practice Address - Fax:321-710-7236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistGroup - Single Specialty