Provider Demographics
NPI:1326004045
Name:HOUSTON CARDIOVASCULAR CONSULTANTS LLP
Entity Type:Organization
Organization Name:HOUSTON CARDIOVASCULAR CONSULTANTS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUBROTO
Authorized Official - Middle Name:
Authorized Official - Last Name:GANGOPADHYAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-565-6999
Mailing Address - Street 1:17510 W GRAND PKWY S STE 590
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2649
Mailing Address - Country:US
Mailing Address - Phone:281-565-6999
Mailing Address - Fax:281-565-7045
Practice Address - Street 1:17150 WEST GRAND PARKWAY SOUTH
Practice Address - Street 2:SUITE 460
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2651
Practice Address - Country:US
Practice Address - Phone:281-565-6999
Practice Address - Fax:281-565-7045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RC0000X
TXJ4646207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0030DQOtherBCBS
TX080159901Medicaid
TXCF8181OtherRR MEDICARE
8054J3Medicare PIN
TX0030DQOtherBCBS
TX00215NMedicare ID - Type Unspecified