Provider Demographics
NPI:1376791160
Name:GARLAND CARDIAC IMAGING
Entity Type:Organization
Organization Name:GARLAND CARDIAC IMAGING
Other - Org Name:PREM S PILLAY MD FACC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADNAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHAIKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-415-6845
Mailing Address - Street 1:PO BOX 1485
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75046-1485
Mailing Address - Country:US
Mailing Address - Phone:972-494-4600
Mailing Address - Fax:972-494-4611
Practice Address - Street 1:2046 FOREST LN
Practice Address - Street 2:SUITE 100
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-7958
Practice Address - Country:US
Practice Address - Phone:972-494-4600
Practice Address - Fax:972-494-4611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2754207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty