Healthcare Provider Details

I. General information

NPI: 1326453168
Provider Name (Legal Business Name): DUSHI PARAMESWARAN, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2014
Last Update Date: 08/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

481 S KATY FORT BEND RD # 210
KATY TX
77494-0815
US

IV. Provider business mailing address

481 S KATY FORT BEND RD # 210
KATY TX
77494-0815
US

V. Phone/Fax

Practice location:
  • Phone: 281-712-6156
  • Fax: 281-395-6315
Mailing address:
  • Phone: 281-712-6156
  • Fax: 281-395-6315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberN5932
License Number StateTX

VIII. Authorized Official

Name: DR. ANGELO DUSHI PARAMESWARAN
Title or Position: PRESIDENT
Credential: MD
Phone: 281-712-6156