Organization Name: | PARAMOUNT CARDIOVASCULAR CONSULTANTS, L.L.C. |
NPI Number: | 1205136850 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER MALLAVARAPU (MEMBER) |
Mailing Address: | 4242 Highway 19 Building 3, Suite C Zachary |
State: | LA US |
Postal Code: | 707913910 |
Phone Number: | 3376804877 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2010 |
NPI Last Update Date: | 10/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |