Provider Demographics
NPI:1023349123
Name:PRUDENT DIAGNOSTICS, INC
Entity type:Organization
Organization Name:PRUDENT DIAGNOSTICS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAHUL
Authorized Official - Middle Name:
Authorized Official - Last Name:DHAWAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-667-8132
Mailing Address - Street 1:12638 BISSONNET ST STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-1479
Mailing Address - Country:US
Mailing Address - Phone:832-667-8132
Mailing Address - Fax:281-664-4850
Practice Address - Street 1:12638 BISSONNET ST STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1479
Practice Address - Country:US
Practice Address - Phone:832-667-8132
Practice Address - Fax:281-664-4850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology