Provider Type Icon

RAJ K BHALLA MD PA NPI 1104906825


NPI Information

NPI: 1104906825
Provider Name: RAJ K BHALLA MD PA

Doing Business As: COMPREHENSIVE CARDIOLOGY

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 45D0991057

Address:
2020 NASA PKWY
SUITE 210
HOUSTON, TX
ZIP 77058
Phone: (281) 333-9200
Get Directions

RAJ K BHALLA MD PA is a cardiovascular disease internal medicine in Houston, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. RAJ K BHALLA MD PA NPI is 1104906825. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Comprehensive Cardiology.

The provider's business location address is:

2020 NASA PKWY
SUITE 210
HOUSTON, TX
ZIP 77058-683
Phone: (281) 333-9200
Fax: (281) 333-3570

The provider's authorized official is Susan Polidori .
The authorized official title is Office Manager and has the following contact phone number (281) 333-9200.

The CLIA number assigned to this NPI record is 45D0991057 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 1/21/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100024FMEDICARE PINTEXAS
2079588201MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.