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NPI Code Detail

MEDICARE: DR. PRITI PALVADI M.D.

MEDICARE: DR. PRITI PALVADI 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
12084N0600XClinical Neurophysiology PhysicianN3226TX
22084S0012XSleep Medicine (Psychiatry & Neurology) PhysicianN3226TX
32084N0400XNeurology PhysicianN3226TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100X185OTHERTXMDCR GRP PTAN BRAZORIA CO
2DB6392OTHERTXRR MDCR GRP PTAN
300106WOTHERTXMDCR GRP PTAN HARRIS CO
4302679101OTHERTXMDCD GRP TPI BRAZORIA CO
5153449704OTHERTXMDCD GRP TPI HARRIS CO

General Provider Information

NPI Number : 1700992641
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRITI PALVADI M.D.
Provider Business Mailing Address
First Line : 4141 VISTA RD
Second Line :
City : PASADENA
State : TX
Zip : 77504-2113
Country : US
Telephone Number : 713-947-3100
Fax Number : 713-947-6103
Provider Business Practice Location Address
First Line : 4141 VISTA RD
Second Line :
City : PASADENA
State : TX
Zip : 77504-2113
Country : US
Telephone Number : 713-947-3100
Fax Number : 713-947-6103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 01/04/2024

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Directions to “ DR. PRITI PALVADI M.D.” Practice Location

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