Provider Demographics
NPI:1366464034
Name:PIRALI, SHIRAZ W
Entity Type:Individual
Prefix:
First Name:SHIRAZ
Middle Name:W
Last Name:PIRALI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12835 WESTHEIMER RD
Mailing Address - Street 2:URGENT CARE PA
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5724
Mailing Address - Country:US
Mailing Address - Phone:281-531-1600
Mailing Address - Fax:281-531-1651
Practice Address - Street 1:12835 WESTHEIMER ROAD
Practice Address - Street 2:URGENT CARE PA
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077
Practice Address - Country:US
Practice Address - Phone:281-531-1600
Practice Address - Fax:281-531-1651
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5866207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX139492614Medicaid
TX139492614Medicaid
F72852Medicare UPIN