Provider Demographics
NPI:1033126495
Name:BANKER, PARENDRA P (MD)
Entity Type:Individual
Prefix:DR
First Name:PARENDRA
Middle Name:P
Last Name:BANKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18955 N MEMORIAL DR
Mailing Address - Street 2:SUITE#470
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4271
Mailing Address - Country:US
Mailing Address - Phone:281-446-9000
Mailing Address - Fax:281-446-8194
Practice Address - Street 1:18955 N MEMORIAL DR
Practice Address - Street 2:SUITE#470
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4271
Practice Address - Country:US
Practice Address - Phone:281-446-9000
Practice Address - Fax:281-446-8194
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2636207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB21081Medicare UPIN
TX00SZ49Medicare ID - Type Unspecified