Provider Demographics
NPI:1326453168
Name:DUSHI PARAMESWARAN, MD PA
Entity Type:Organization
Organization Name:DUSHI PARAMESWARAN, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:DUSHI
Authorized Official - Last Name:PARAMESWARAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-712-6156
Mailing Address - Street 1:481 S KATY FORT BEND RD # 210
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-0815
Mailing Address - Country:US
Mailing Address - Phone:281-712-6156
Mailing Address - Fax:281-395-6315
Practice Address - Street 1:481 S KATY FORT BEND RD # 210
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-0815
Practice Address - Country:US
Practice Address - Phone:281-712-6156
Practice Address - Fax:281-395-6315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5932207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDV3146OtherRR MEDICARE
TX377513Medicare PIN