Provider Demographics
NPI:1285602607
Name:NATHAN, SRIRAM S (MD)
Entity type:Individual
Prefix:
First Name:SRIRAM
Middle Name:S
Last Name:NATHAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:6400 FANNIN ST
Mailing Address - Street 2:SUITE 2350
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1521
Mailing Address - Country:US
Mailing Address - Phone:713-704-4300
Mailing Address - Fax:713-704-4355
Practice Address - Street 1:6400 FANNIN ST
Practice Address - Street 2:SUITE 2500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1521
Practice Address - Country:US
Practice Address - Phone:713-704-4300
Practice Address - Fax:713-704-4355
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2025-01-08
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Provider Licenses
StateLicense IDTaxonomies
TXN5279207RC0000X, 207RA0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH31718Medicare UPIN