Provider Demographics
NPI:1518180488
Name:BORDER RADIOLOGY CONSULTANTS PC
Entity Type:Organization
Organization Name:BORDER RADIOLOGY CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HERAMB
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-790-1155
Mailing Address - Street 1:1155 N ZARAGOZA RD
Mailing Address - Street 2:SUITE C107
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-1812
Mailing Address - Country:US
Mailing Address - Phone:915-790-1155
Mailing Address - Fax:915-790-1158
Practice Address - Street 1:1155 N ZARAGOZA RD
Practice Address - Street 2:SUITE C107
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-1812
Practice Address - Country:US
Practice Address - Phone:915-790-1155
Practice Address - Fax:915-790-1158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM97922085B0100X, 2085D0003X, 2085N0904X, 2085P0229X, 2085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody ImagingGroup - Single Specialty
Not Answered2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic NeuroimagingGroup - Single Specialty
Not Answered2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear RadiologyGroup - Single Specialty
Not Answered2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric RadiologyGroup - Single Specialty
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Not Answered2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM009N24OtherBCBS
NM91624070Medicaid