Provider Demographics
NPI:1326106824
Name:POKALA, HARI P (MD)
Entity Type:Individual
Prefix:
First Name:HARI
Middle Name:P
Last Name:POKALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17202 RED OAK DR
Mailing Address - Street 2:STE 305
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2639
Mailing Address - Country:US
Mailing Address - Phone:281-580-1281
Mailing Address - Fax:281-580-1668
Practice Address - Street 1:17202 RED OAK DR
Practice Address - Street 2:STE 305
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2639
Practice Address - Country:US
Practice Address - Phone:281-580-1281
Practice Address - Fax:281-580-1668
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG0513207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00TF57Medicare PIN