Provider Demographics
NPI:1447306865
Name:ODESSA HEART INSTITUTE, P.A.
Entity type:Organization
Organization Name:ODESSA HEART INSTITUTE, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUDHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:AMARAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:432-337-3117
Mailing Address - Street 1:720 GOLDER AVE
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-4442
Mailing Address - Country:US
Mailing Address - Phone:432-337-3117
Mailing Address - Fax:432-337-3448
Practice Address - Street 1:4630 LEMONWOOD LN
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-3512
Practice Address - Country:US
Practice Address - Phone:432-366-0652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX512262261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center