Provider Demographics
NPI:1669891560
Name:INDIRA HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:INDIRA HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:INDIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAKIROVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-741-4338
Mailing Address - Street 1:2470 GRAY FALLS DR
Mailing Address - Street 2:SUITE # 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6512
Mailing Address - Country:US
Mailing Address - Phone:281-741-4338
Mailing Address - Fax:281-741-4627
Practice Address - Street 1:2470 GRAY FALLS DR
Practice Address - Street 2:SUITE # 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6512
Practice Address - Country:US
Practice Address - Phone:281-741-4338
Practice Address - Fax:281-741-4627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty