Provider Demographics
NPI:1760922132
Name:USHA R PINNINTI MD PLLC
Entity Type:Organization
Organization Name:USHA R PINNINTI MD PLLC
Other - Org Name:UNIVERSITY RETINA ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:USHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:PINNINTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-413-3684
Mailing Address - Street 1:1213 HERMANN DR STE 120
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7008
Mailing Address - Country:US
Mailing Address - Phone:832-413-3684
Mailing Address - Fax:830-212-6084
Practice Address - Street 1:1213 HERMANN DR STE 120
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7008
Practice Address - Country:US
Practice Address - Phone:832-413-3684
Practice Address - Fax:830-212-6084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-03
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6964207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty