VASCULAR DIAGNOSTIC LABORATORY (NPI# 1598727331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598727331 |
| Entity Type | Organization |
| Organization Name | VASCULAR DIAGNOSTIC LABORATORY |
| Practice Address |
6565 Fannin F922 Houston TX 77030-2707 |
| Mailing Address |
Po Box 200100 Houston TX 77216-0100 |
| Practice Telephone | 7139788651 |
| Practice Fax Number | 7137988252 |
| Mailing Telephone | 7137988651 |
| Mailing Fax Number | 7137988252 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2007-12-21 |
| Authorized Official Name | CHARLES HOLMES MCCOLLUM (CO DIRECTOR) |
| Authorized Official Telephone | 7137988651 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
6565 FANNIN F922 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-2707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457423 | Rachel Kushaney | Nurse Practitioner | 6565 Fannin, Alkek 754, Houston, TX 77030 | 2020-01-27 |
| 1699250787 | Meaghan Marie Brown | Nurse Practitioner | 6565 Fannin, Smith 1601, Houston, TX 77030 | 2018-09-25 |
| 1568805877 | Anna Cecilia Sandejas Tenorio | Family Medicine | 6565 Fannin, Main 577, Houston, TX 77030 | 2013-04-17 |
| 1164708772 | Steven Huan-ling Hsu | Internal Medicine | 6565 Fannin, Fondren 270, Houston, TX 77030 | 2011-10-26 |
| 1932344785 | Munir Shahjahan | Pathology | 6565 Fannin, M227, Houston, TX 77030 | 2008-12-09 |
| 1306081518 | Roger Selouan | Radiology | 6565 Fannin, Houston, TX 77030 | 2008-12-03 |
| 1760669832 | Victoria Ann Sgarlat | Nurse Practitioner | 6565 Fannin, Mgj 11 002, Houston, TX 77030 | 2008-01-30 |
| 1811191240 | Charyl Renee Bell-gordon | Nurse Practitioner | 6565 Fannin, Mgj 11-002, Houston, TX 77030 | 2007-06-11 |
| 1215032305 | Matt Reza Khoshnevis | Internal Medicine | 6565 Fannin, Fondren 270, Houston, TX 77030 | 2006-09-13 |
| 1467471557 | Christie Mitchell Ballantyne | Internal Medicine | 6565 Fannin, B160, Houston, TX 77030 | 2006-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558922625 | Sudad Kareem Al Hadad | Surgery | 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 | 2019-06-27 |
| 1518449701 | Kenton Lee Rommens | Surgery | 6400 Fannin St. Suite 2850, Houston, TX 77030 | 2018-09-04 |
| 1609303171 | Ross Gene Mcfall | Surgery | 6550 Fannin St # Sm1401, Houston, TX 77030-2717 | 2017-05-16 |
| 1093017063 | Southeast Texas Clinical Research and Education Inc | Surgery | 5925 Almeda Rd, North Tower Suite 717, Houston, TX 77004-7602 | 2010-11-24 |
| 1710150461 | Cardiothoracic and Vascular Surgery, Pllc | Surgery | 12327 N Shadow Cove Dr, Houston, TX 77082-2503 | 2008-04-02 |
| 1770760522 | Arash Keyhani | Surgery | 1631 North Loop W Ste 610, Houston, TX 77008-1552 | 2008-01-23 |
| 1447397716 | Jayer Chung | Surgery | 6620 Main Street (baylor College of Medicine), Suite 1325, Houston, TX 77030 | 2007-01-30 |
| 1366466914 | Damian Victorio Chaupin | Surgery | 800 Peakwood Drive, Suite 5g, Houston, TX 77090 | 2006-07-27 |
| 1427077817 | Jose Gabriel Monsalvez | Surgery | 4126 Southwest Fwy Ste 1100, Houston, TX 77027-7358 | 2006-07-18 |
| 1962471227 | William P Kalchoff | Surgery | 8313 Sw Fwy, Suite 201, Houston, TX 77074-1611 | 2006-03-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.