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General NPI Number Information
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NPI Number | 1477676187
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Entity Type | Organization
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Legal Business Name | PRASHANTH R PALWAI, MD PA
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 22999 HIGHWAY 59 N SUITE 230
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City | KINGWOOD
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State | TX
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Zip | 77339-4412
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Country | US
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Telephone | 281-319-4700
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Fax | 281-319-4702
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Provider Business Mailing Address
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Address Line | 22999 HIGHWAY 59 N SUITE 230
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City | KINGWOOD
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State | TX
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Zip | 77339-4412
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Country | US
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Telephone | 281-319-4700
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Fax | 281-319-4702
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. PRASHANTH REDDY PALWAI
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Credential | M.D.
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Telephone | 281-319-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | L9414
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License Number State | TX
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