Provider Demographics
NPI:1659507267
Name:V SAMAVEDI MD PA
Entity Type:Organization
Organization Name:V SAMAVEDI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-205-3305
Mailing Address - Street 1:4300 BAY AREA BLVD APT 3614
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-1144
Mailing Address - Country:US
Mailing Address - Phone:281-979-9291
Mailing Address - Fax:713-991-7955
Practice Address - Street 1:4300 BAY AREA BLVD APT 3614
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-1144
Practice Address - Country:US
Practice Address - Phone:281-979-9291
Practice Address - Fax:713-991-7955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty