Imam Eko Tjahja (NPI# 1760472948, PAC ID# 8527243906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1760472948 |
| PAC ID by PECOS | 8527243906 |
| Professional Enrollment ID | I20110428000508 |
| Full Name | Imam Eko Tjahja |
| Organization Legal Name | CARDIOVASCULAR INSTITUTE OF SOUTH TEXAS PLLC |
| Address |
12340 Bandera Rd Suite 104 Helotes TX 78023-4575 |
| Phone Number | 2109208000 |
| Gender | M |
| Graduation Year | 1981 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERVENTIONAL CARDIOLOGY |
| Group Practice PAC ID | 0749540037 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450237 | CHRISTUS SANTA ROSA MEDICAL CENTER |
| 451391 | FRIO REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12340 Bandera Rd, Suite 104, Helotes, TX 78023-4575 | 2109208000 | CARDIOVASCULAR INSTITUTE OF SOUTH TEXAS PLLC |
| Organization Legal Name | CARDIOVASCULAR INSTITUTE OF SOUTH TEXAS PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tzy-shiuan B Kuo | Interventional Cardiology | Cardiovascular Institute of South Texas Pllc | 12340 Bandera Rd, Suite 104, Helotes, TX 78023-4575 |
| Mehdi Rambod | Interventional Cardiology | Cardiovascular Institute of South Texas Pllc | 12340 Bandera Rd, Suite 104, Helotes, TX 78023-4575 |
| Street Address |
12340 BANDERA RD SUITE 104 |
| City | HELOTES |
| State | TX |
| Zip | 78023-4575 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tzy-shiuan B Kuo | Interventional Cardiology | Cardiovascular Institute of South Texas Pllc | 12340 Bandera Rd, Suite 104, Helotes, TX 78023-4575 |
| Mehdi Rambod | Interventional Cardiology | Cardiovascular Institute of South Texas Pllc | 12340 Bandera Rd, Suite 104, Helotes, TX 78023-4575 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Boykin | Diagnostic Radiology | Brfhh Monroe LLC | 13408 Huisache Way, Helotes, TX 78023-3607 |
| Ann Newstead-johnsey | Physical Therapy | 14418 Old Bandera Rd, Helotes, TX 78023-3702 | |
| Michael A Rihn | Chiropractic | Helotes Chiropractic Clinic | 13667 Bandera Rd, Helotes, TX 78023-3930 |
| Teresa L Rihn | Chiropractic | Helotes Chiropractic Clinic | 13667 Bandera Rd, Helotes, TX 78023-3930 |
| Peter J Schanen | Nurse Practitioner | 13063 Wild Heart, Helotes, TX 78023-3968 | |
| Erica C Salazar | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 12980 Bandera Rd, Helotes, TX 78023-4098 |
| Ashley M Atencio | Optometry | Celeste Acosta, O.d., P.C. | 11864 Bandera Rd, Helotes, TX 78023-4132 |
| Celeste Acosta | Optometry | Celeste Acosta, O.d., P.C. | 11864 Bandera Rd, Helotes, TX 78023-4132 |
| Erin M Lenza | Physician Assistant | Stephen Miller Md, Pa | 12415 Bandera Rd, Suite 114, Helotes, TX 78023-4265 |
| Mui K Lee | Physician Assistant | Stephen Miller Md, Pa | 12415 Bandera Rd, Suite 114, Helotes, TX 78023-4265 |
| Find all physicians in zip 78023 | |||
| City | HELOTES |
| Zip Code | 78023 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | HELOTES + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Imam Eko Tjahja.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.