Provider Demographics
NPI:1679273098
Name:DR PRADEEP PARIHAR MD PLLC
Entity Type:Organization
Organization Name:DR PRADEEP PARIHAR MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PRADEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-727-7514
Mailing Address - Street 1:940 RIDGEVIEW DR STE 140
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5443
Mailing Address - Country:US
Mailing Address - Phone:469-444-2451
Mailing Address - Fax:
Practice Address - Street 1:940 RIDGEVIEW DR STE 140
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-5443
Practice Address - Country:US
Practice Address - Phone:469-444-2451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX184579401Medicaid