MEDICARE: PRAYMAL THAKRAR MD

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	207R00000X	Internal Medicine Physician	0101251832	VA
2	207R00000X	Internal Medicine Physician	P3462	TX
3	208000000X	Pediatrics Physician	0101251832	VA

General Provider Information

NPI Number	:	1881855039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRAYMAL THAKRAR MD

Provider Business Mailing Address
First Line	:	6033 AIRLINE DR STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77076-4243
Country	:	US
Telephone Number	:	713-694-2802
Fax Number	:	713-694-2833

Provider Business Practice Location Address
First Line	:	6033 AIRLINE DR
Second Line	:	SUITE C
City	:	HOUSTON
State	:	TX
Zip	:	77076-4209
Country	:	US
Telephone Number	:	713-694-2808
Fax Number	:	713-694-2833

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

Provider Enumeration Date	:	06/20/2008
Last Update Date	:	12/02/2025

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