Provider Demographics
NPI:1871482299
Name:GH IMAGING LLLP
Entity type:Organization
Organization Name:GH IMAGING LLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMPRASAD
Authorized Official - Middle Name:C
Authorized Official - Last Name:DANDILLAYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-295-2774
Mailing Address - Street 1:150 N ROBERTSON BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2171
Mailing Address - Country:US
Mailing Address - Phone:310-295-2774
Mailing Address - Fax:
Practice Address - Street 1:150 N ROBERTSON BLVD STE 150
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2171
Practice Address - Country:US
Practice Address - Phone:310-295-2774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology