Provider Demographics
NPI:1366691032
Name:EXPRESS IMAGING, PA
Entity Type:Organization
Organization Name:EXPRESS IMAGING, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALEEM
Authorized Official - Middle Name:ZIA
Authorized Official - Last Name:CHUGHTAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-466-2175
Mailing Address - Street 1:14 EDGEWATER PLACE
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521
Mailing Address - Country:US
Mailing Address - Phone:956-466-2175
Mailing Address - Fax:956-466-2175
Practice Address - Street 1:14 EDGEWATER PL
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1420
Practice Address - Country:US
Practice Address - Phone:956-466-2175
Practice Address - Fax:956-466-2175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology