Provider Demographics
NPI:1881824357
Name:PREMAL P. JOSHI, M.D., P.A.
Entity Type:Organization
Organization Name:PREMAL P. JOSHI, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PREMAL
Authorized Official - Middle Name:PARIMAL
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-207-6409
Mailing Address - Street 1:PO BOX 17929
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-7929
Mailing Address - Country:US
Mailing Address - Phone:281-207-6409
Mailing Address - Fax:281-207-6438
Practice Address - Street 1:16605 SOUTHWEST FWY STE 350
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3482
Practice Address - Country:US
Practice Address - Phone:281-207-6409
Practice Address - Fax:281-207-6438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-19
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0146207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty