Healthcare Provider Details

I. General information

NPI: 1154505238
Provider Name (Legal Business Name): DANNY JOHN EAPEN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/24/2007
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6624 FANNIN ST STE 2480
HOUSTON TX
77030-2309
US

IV. Provider business mailing address

860 PEACHTREE ST NE UNIT 1006
ATLANTA GA
30308-1264
US

V. Phone/Fax

Practice location:
  • Phone: 713-798-5570
  • Fax:
Mailing address:
  • Phone: 305-546-0528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberV7206
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number64924
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: