Provider Demographics
NPI:1225407687
Name:SUGAR LAND IMAGING CENTER LLC
Entity Type:Organization
Organization Name:SUGAR LAND IMAGING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DHAWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-667-8132
Mailing Address - Street 1:2655 CORDES DR
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1460
Mailing Address - Country:US
Mailing Address - Phone:832-667-8132
Mailing Address - Fax:281-664-5899
Practice Address - Street 1:2655 CORDES DR
Practice Address - Street 2:SUITE 130
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1460
Practice Address - Country:US
Practice Address - Phone:832-667-8132
Practice Address - Fax:281-664-5899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology