Provider Demographics
NPI:1275625097
Name:BAYTOWN CARDIOLOGY AND ASSOCIATES
Entity Type:Organization
Organization Name:BAYTOWN CARDIOLOGY AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARMA
Authorized Official - Middle Name:SUBRAHMANYA
Authorized Official - Last Name:CHALLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACC, PA
Authorized Official - Phone:281-420-2391
Mailing Address - Street 1:4301 GARTH RD STE 304
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3158
Mailing Address - Country:US
Mailing Address - Phone:281-837-6214
Mailing Address - Fax:281-837-6616
Practice Address - Street 1:4301 GARTH RD STE 304
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3158
Practice Address - Country:US
Practice Address - Phone:281-837-6214
Practice Address - Fax:281-837-6616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL050402471N0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471N0900XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistNuclear Medicine TechnologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0093BMMedicare ID - Type UnspecifiedMEDICARE NUMBER