Provider Demographics
NPI:1245245067
Name:SID ACHARYA MD PA
Entity Type:Organization
Organization Name:SID ACHARYA MD PA
Other - Org Name:CARDIOVASCULAR SPECIALISTS OF TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SID
Authorized Official - Middle Name:A
Authorized Official - Last Name:ACHARYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:409-945-5444
Mailing Address - Street 1:PO BOX 890089
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77289-0089
Mailing Address - Country:US
Mailing Address - Phone:409-945-5444
Mailing Address - Fax:409-945-4133
Practice Address - Street 1:6807 EMMETT F LOWRY EXPRESSWAY
Practice Address - Street 2:SUITE 108
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77591
Practice Address - Country:US
Practice Address - Phone:409-945-5444
Practice Address - Fax:409-945-4133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00706RMedicare ID - Type Unspecified
E74446Medicare UPIN