Permian Heart Clinic

LBN: Ram Kolluru,M.D.Pa
Permian Heart Clinic is an health care organization with primary practice located at 420 E 6Th St Ste 102, Odessa TX 79761-4529. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Ram Kolluru,M.D.Pa can be contacted via phone (432) 685-3333, or through Kolluru, Ramachandra Rao via phone (432) 685-3333.

Contact Information

Primary practice address
420 E 6Th St Ste 102 Odessa TX 79761-4529
Phone: (432) 685-3333
Fax: (432) 570-5440
Website:
Map and Directions
Authorized official contact:
Name: Kolluru, Ramachandra Rao Doctor of Medicine (MD)
Phone: (432) 685-3333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1285794289
LBN Legal business name Ram Kolluru,M.D.Pa
DBA Doing business as Permian Heart Clinic
Authorized official Kolluru, Ramachandra Rao Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Oct 21st, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285794289 NPPES
Texas MEDICAID 109508502

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