Provider Demographics
NPI:1073803805
Name:ECHOCARDIOGRAM INC
Entity type:Organization
Organization Name:ECHOCARDIOGRAM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-686-9972
Mailing Address - Street 1:6211 MENOR CREST DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-6913
Mailing Address - Country:US
Mailing Address - Phone:713-579-0660
Mailing Address - Fax:713-579-0660
Practice Address - Street 1:2000 NORTH LOOP W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-8124
Practice Address - Country:US
Practice Address - Phone:713-579-0655
Practice Address - Fax:713-579-0660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2011-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonographyGroup - Single Specialty
No2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular SonographyGroup - Single Specialty