Provider Demographics
NPI:1508387408
Name:OLYMPUS PARTNERS LLC
Entity Type:Organization
Organization Name:OLYMPUS PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISHNAMURTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIVSHANKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-208-9967
Mailing Address - Street 1:7737 SOUTHWEST FWY STE 840
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1819
Mailing Address - Country:US
Mailing Address - Phone:713-771-1711
Mailing Address - Fax:713-771-1716
Practice Address - Street 1:7737 SOUTHWEST FWY STE 840
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1819
Practice Address - Country:US
Practice Address - Phone:713-771-1711
Practice Address - Fax:713-771-1716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty