Provider Demographics
NPI:1023389269
Name:PARVATHI DEVI PLLC
Entity Type:Organization
Organization Name:PARVATHI DEVI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOMAYAZULA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:908-337-7843
Mailing Address - Street 1:3531 TOWN CENTER BLVD SOUTH
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479
Mailing Address - Country:US
Mailing Address - Phone:281-980-8111
Mailing Address - Fax:281-980-8112
Practice Address - Street 1:3531 TOWN CENTER BLVD SOUTH
Practice Address - Street 2:SUITE 102
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479
Practice Address - Country:US
Practice Address - Phone:281-980-8111
Practice Address - Fax:281-980-8112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP1023208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB144183Medicare PIN