Provider Demographics
NPI:1902132087
Name:PARADISE HEALTH CARE, INC.
Entity Type:Organization
Organization Name:PARADISE HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHOT
Authorized Official - Middle Name:
Authorized Official - Last Name:KONANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-774-5505
Mailing Address - Street 1:9000 WEST BELLFORT AVENUE SUITE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031
Mailing Address - Country:US
Mailing Address - Phone:713-774-5505
Mailing Address - Fax:713-774-5574
Practice Address - Street 1:9000 W BELLFORT ST STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-2411
Practice Address - Country:US
Practice Address - Phone:713-774-5505
Practice Address - Fax:713-774-5574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD2908207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematologyGroup - Multi-Specialty