Provider Demographics
NPI:1477676187
Name:PRASHANTH R PALWAI, MD PA
Entity Type:Organization
Organization Name:PRASHANTH R PALWAI, MD PA
Other - Org Name:NORTH HOUSTON RHEUMATOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PRASHANTH
Authorized Official - Middle Name:REDDY
Authorized Official - Last Name:PALWAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-319-4700
Mailing Address - Street 1:22999 HIGHWAY 59 N
Mailing Address - Street 2:SUITE 230
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4412
Mailing Address - Country:US
Mailing Address - Phone:281-319-4700
Mailing Address - Fax:281-319-4702
Practice Address - Street 1:22999 HIGHWAY 59 N
Practice Address - Street 2:SUITE 230
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4412
Practice Address - Country:US
Practice Address - Phone:281-319-4700
Practice Address - Fax:281-319-4702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9414207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0077NCOtherBLUE CROSS BLUE SHIELD
TXDE4844OtherRAIL ROAD MEDICARE
TX0077NCOtherBLUE CROSS BLUE SHIELD