DR. GEORGE MAMMEN (NPI# 1588629497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588629497 |
| Entity Type | Individual |
| Full Name | DR. GEORGE MAMMEN |
| Credential | M.D. |
| Practice Address |
10496 Katy Fwy Ste 130 Houston TX 77043 |
| Mailing Address |
1331 W Grand Pkwy N Ste 130 Katy TX 77493-2711 |
| Practice Telephone | 7134642928 |
| Practice Fax Number | 7134646560 |
| Mailing Telephone | 2813923401 |
| Mailing Fax Number | 2813927814 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
F6283 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
F6283 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BC/BS | 817899 | 01 |
| TX | RAILROAD MEDICARE | 060013537 | 01 |
| TX | 124681104 | 05 | |
| TX | AETNA | 683284 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 915 Gessner Rd, Suite 950, Houston, TX 770242578 | 7134642928 | 7134646560 |
| Street Address |
10496 KATY FWY STE 130 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619932241 | Selim M Sekili | Internal Medicine | 10496 Katy Fwy Ste 130, Houston, TX 77043 | 2006-04-18 |
| 1790938538 | Amir Kashani | Internal Medicine | 10496 Katy Fwy Ste 130, Houston, TX 77043 | 2008-10-24 |
| 1306860457 | James M Feldman | Internal Medicine | 10496 Katy Fwy Ste 130, Houston, TX 77043 | 2006-07-26 |
| 1457302879 | Rajen K Mehta | Internal Medicine | 10496 Katy Fwy Ste 130, Houston, TX 77043 | 2006-05-12 |
| 1538124458 | Memorial City Cardiology Associates Inc | Internal Medicine | 10496 Katy Fwy Ste 130, Houston, TX 77043 | 2006-04-20 |
| 1538124466 | Anil Odhav | Internal Medicine | 10496 Katy Fwy Ste 130, Houston, TX 77043 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286102 | Keith Nunez | Physical Therapist | 10496 Katy Fwy 101, Houston, TX 77043 | 2019-10-14 |
| 1730730128 | Melinda Lee Mogas | Occupational Therapist | 1900 Kersten Dr., Houston, TX 77043 | 2019-09-26 |
| 1568827491 | Gina Bates | Behavioral Analyst | 1907 Nocturne Ln, Houston, TX 77043 | 2015-12-18 |
| 1770917841 | Stephanie Howard Ambrose | Physical Therapist | 10100 Katy Fwy Ste 170, Houston, TX 77043 | 2013-08-26 |
| 1114271475 | Glencris Construction Inc. | Durable Medical Equipment & Medical Supplies | 2121 Brittmoore Rd., Suite 8400, Houston, TX 77043 | 2012-11-07 |
| 1033468111 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 1332 Upland Drive, Houston, TX 77043 | 2012-09-05 |
| 1770861452 | Myofascial Pain Center | Rehabilitation Practitioner | 1140 Business Center Dr. Ste. 580, Houston, TX 77043 | 2011-07-28 |
| 1871886846 | Jenny T. Wang | Psychologist | 1888 Stebbins Drive, Suite 200, Houston, TX 77043 | 2011-05-24 |
| 1518277458 | Wrenwood Medical Equipment | Durable Medical Equipment & Medical Supplies | 1421 Wycliffe Dr, Houston, TX 77043 | 2010-10-13 |
| 1841518925 | Memorial Surgical Solutions | Clinic/Center | 10504 Katy Freeway, Houston, TX 77043 | 2010-05-13 |
| Find all providers in zip 77043 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356865737 | Apex Cardiology of Houston, Pllc | Internal Medicine | 11914 Astoria Blvd Ste 410, Houston, TX 77089-6049 | 2017-07-27 |
| 1952417305 | Medical Center Heart Consultants Pllc | Internal Medicine | 6400 Fannin #2220, Medical Center Heart Consultants Pllc, Houston, TX 77030-5306 | 2006-08-21 |
| 1982694253 | Vasudev B Shenoy | Internal Medicine | 509 W Tidwell Rd Ste 130, Houston, TX 77091-4356 | 2005-10-26 |
| 1477103943 | Younis Cardiology Associates Pllc | Internal Medicine | 6560 Fannin St Ste 1750, Houston, TX 77030-2725 | 2019-09-17 |
| 1659833390 | Ctx Care of Tx V, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1639631377 | Ctx Care of Tx Vi, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1962964619 | Ctx Care of Tx, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1780146407 | Ctx Care of Tx II, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1760944490 | Ctx Care of Tx IIi, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| 1811459548 | Ctx Care of Tx Iv, LLC | Internal Medicine | 1021 Main St Ste 115, Houston, TX 77002-6502 | 2019-04-02 |
| Find all providers in HOUSTON | ||||
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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.