MEDICARE: IMPERIAL INFUSIONS

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	261QI0500X	Infusion Therapy Clinic/Center	M1284	TX

General Provider Information

NPI Number	:	1124263892
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMPERIAL INFUSIONS

Provider Business Mailing Address
First Line	:	PO BOX 133333
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77393-3333
Country	:	US
Telephone Number	:	405-413-9494
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 WIND RIDGE CIR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77381-6304
Country	:	US
Telephone Number	:	405-413-9494
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RAMA REDDY PALWAI
Credential	:	MD
Telephone Number	:	405-413-9494

Provider Enumeration Date	:	12/10/2008
Last Update Date	:	04/12/2010

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Directions to “IMPERIAL INFUSIONS ” Practice Location

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