MEDICARE: IMPERIAL INFUSIONS PA

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	261QH0100X	Health Service Clinic/Center	M1284	TX

General Provider Information

NPI Number	:	1679898555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMPERIAL INFUSIONS PA

Provider Business Mailing Address
First Line	:	55 WIND RIDGE CIR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77381-6304
Country	:	US
Telephone Number	:	936-340-0952
Fax Number	:	936-340-0952

Provider Business Practice Location Address
First Line	:	55 WIND RIDGE CIR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77381-6304
Country	:	US
Telephone Number	:	936-340-0952
Fax Number	:	936-340-0952

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RAMA REDDY PALWAI
Credential	:	MD
Telephone Number	:	936-340-0952

Provider Enumeration Date	:	04/02/2010
Last Update Date	:	04/02/2010

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Directions to “IMPERIAL INFUSIONS PA ” Practice Location

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