Provider Demographics
NPI:1497133961
Name:PROTECH RADIOLOGY, LLC
Entity Type:Organization
Organization Name:PROTECH RADIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:AJANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-398-5783
Mailing Address - Street 1:7514 SHANNONDALE DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479
Mailing Address - Country:US
Mailing Address - Phone:713-398-5783
Mailing Address - Fax:844-228-8100
Practice Address - Street 1:515 OLMSTEAD PARK DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4424
Practice Address - Country:US
Practice Address - Phone:713-398-5783
Practice Address - Fax:844-228-8100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-15
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM95862085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty