Provider Demographics
NPI:1316640964
Name:SUMMIT HEALTH MANAGEMENT ORGANIZATION, INC
Entity type:Organization
Organization Name:SUMMIT HEALTH MANAGEMENT ORGANIZATION, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SADEGHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-977-8372
Mailing Address - Street 1:14770 MEMORIAL DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5238
Mailing Address - Country:US
Mailing Address - Phone:281-977-8372
Mailing Address - Fax:
Practice Address - Street 1:14770 MEMORIAL DR STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-5252
Practice Address - Country:US
Practice Address - Phone:281-496-7333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SUMMIT HEALTH MANAGEMENT ORGANIZATION, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-23
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty