MEDICARE: DR. HARISH K PARIANI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	F3272	TX

General Provider Information

NPI Number	:	1083669436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARISH K PARIANI M.D.

Provider Business Mailing Address
First Line	:	20114 ATASCOCITA SHORES DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-1637
Country	:	US
Telephone Number	:	281-852-2676
Fax Number	:	832-228-8236

Provider Business Practice Location Address
First Line	:	20114 ATASCOCITA SHORES DR
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-1637
Country	:	US
Telephone Number	:	281-852-2676
Fax Number	:	832-228-8236

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	12/17/2007

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