MEDICARE: POOJA DEEP-RASHMI PARANJPE 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	M6327	TX
2	207K00000X	Allergy & Immunology Physician	M6327	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BP1-0022670	OTHER		INSTITUTIONAL PERMIT

General Provider Information

NPI Number	:	1922218973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	POOJA DEEP-RASHMI PARANJPE MD

Provider Business Mailing Address
First Line	:	7150 N PRESIDENT GEORGE BUSH HWY STE 203
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2210
Country	:	US
Telephone Number	:	469-649-9644
Fax Number	:	469-367-0249

Provider Business Practice Location Address
First Line	:	7150 N PRESIDENT GEORGE BUSH HWY STE 203
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-2210
Country	:	US
Telephone Number	:	469-649-9644
Fax Number	:	469-367-0024

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	07/21/2022

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