Provider Demographics
NPI:1821475468
Name:HALANI, PALLAV (MD)
Entity Type:Individual
Prefix:
First Name:PALLAV
Middle Name:
Last Name:HALANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7619 BRANFORD PL STE 250
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3760
Mailing Address - Country:US
Mailing Address - Phone:346-340-9090
Mailing Address - Fax:346-340-9093
Practice Address - Street 1:7619 BRANFORD PL STE 250
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3760
Practice Address - Country:US
Practice Address - Phone:346-340-9090
Practice Address - Fax:346-340-9093
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-04
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXT59152080S0012X, 2080P0214X, 208000000X
NC2018-017702080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No2080S0012XAllopathic & Osteopathic PhysiciansPediatricsSleep Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1255070843Medicaid
TX1821475468Medicaid