Provider Demographics
NPI:1639308406
Name:KOHLI, PARMISH LALIT (MD)
Entity Type:Individual
Prefix:DR
First Name:PARMISH
Middle Name:LALIT
Last Name:KOHLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4458 MEDICAL DR STE 205
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3748
Mailing Address - Country:US
Mailing Address - Phone:210-614-1515
Mailing Address - Fax:210-615-6904
Practice Address - Street 1:4458 MEDICAL DR STE 205
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:210-614-1515
Practice Address - Fax:210-615-6904
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ1651207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQ1651OtherTEXAS LICENSE
TXQ1651OtherTEXAS LICENSE