Healthcare Provider Details

I. General information

NPI: 1093322075
Provider Name (Legal Business Name): PARA-RAGHU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2302 FANNIN ST STE 410
HOUSTON TX
77002-9135
US

IV. Provider business mailing address

5119 LOCUST ST
BELLAIRE TX
77401-3320
US

V. Phone/Fax

Practice location:
  • Phone: 832-538-1024
  • Fax: 832-538-1023
Mailing address:
  • Phone: 502-387-7297
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: ANGELO DUSHI PARAMESWARAN
Title or Position: CO-OWNER
Credential: MD
Phone: 502-387-7297