Provider Demographics
NPI:1417272691
Name:RAJAN KADAKIA, M.D. P.A.
Entity Type:Organization
Organization Name:RAJAN KADAKIA, M.D. P.A.
Other - Org Name:SOUTHEAST CARDIOVASCULAR ASSOCIATES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJAN
Authorized Official - Middle Name:AVINASH
Authorized Official - Last Name:KADAKIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-498-4550
Mailing Address - Street 1:11920 ASTORIA BLVD STE 340
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6155
Mailing Address - Country:US
Mailing Address - Phone:281-506-8720
Mailing Address - Fax:281-416-4442
Practice Address - Street 1:11920 ASTORIA BLVD STE 340
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6155
Practice Address - Country:US
Practice Address - Phone:281-506-8720
Practice Address - Fax:281-416-4442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-31
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty