Healthcare Provider Details

I. General information

NPI: 1285602607
Provider Name (Legal Business Name): SRIRAM S NATHAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 FANNIN ST SUITE 2500
HOUSTON TX
77030-1521
US

IV. Provider business mailing address

6400 FANNIN ST SUITE 2350
HOUSTON TX
77030-1521
US

V. Phone/Fax

Practice location:
  • Phone: 713-704-4300
  • Fax: 713-704-4355
Mailing address:
  • Phone: 713-704-4300
  • Fax: 713-704-4355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberN5279
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberN5279
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: