Healthcare Provider Details

I. General information

NPI: 1578575973
Provider Name (Legal Business Name): SHARAD P GEORGE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SHARAD GEORGE PUTHENPARAMPIL

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 HOLCOMBE BLVD NUCLEAR MEDICINE (115)
HOUSTON TX
77030-4211
US

IV. Provider business mailing address

2403 GALLEON POINT CT
PEARLAND TX
77584-1644
US

V. Phone/Fax

Practice location:
  • Phone: 713-791-1414
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License NumberME 72514
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: