Provider Demographics
NPI:1477749323
Name:CENTER FOR ADVANCED HEART FAILURE
Entity Type:Organization
Organization Name:CENTER FOR ADVANCED HEART FAILURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:PRANAV
Authorized Official - Middle Name:
Authorized Official - Last Name:LOYALKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-704-4300
Mailing Address - Street 1:6400 FANNIN ST
Mailing Address - Street 2:SUITE 2500
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1521
Mailing Address - Country:US
Mailing Address - Phone:713-704-4300
Mailing Address - Fax:713-704-4355
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:SUITE 2500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1521
Practice Address - Country:US
Practice Address - Phone:713-704-4300
Practice Address - Fax:713-704-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4542207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX193518101Medicaid
TX193518101Medicaid
TX00Y656Medicare PIN