MEDICARE: SRIRAM S NATHAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	N5279	TX
2	207RA0001X	Advanced Heart Failure and Transplant Cardiology Physician	N5279	TX

General Provider Information

NPI Number	:	1285602607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SRIRAM S NATHAN M.D.

Provider Business Mailing Address
First Line	:	6400 FANNIN ST
Second Line	:	SUITE 2350
City	:	HOUSTON
State	:	TX
Zip	:	77030-1521
Country	:	US
Telephone Number	:	713-704-4300
Fax Number	:	713-704-4355

Provider Business Practice Location Address
First Line	:	6400 FANNIN ST
Second Line	:	SUITE 2500
City	:	HOUSTON
State	:	TX
Zip	:	77030-1521
Country	:	US
Telephone Number	:	713-704-4300
Fax Number	:	713-704-4355

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	01/08/2025

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Directions to “ SRIRAM S NATHAN M.D.” Practice Location

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