Provider Demographics
NPI:1881855039
Name:THAKRAR, PRAYMAL (MD)
Entity Type:Individual
Prefix:
First Name:PRAYMAL
Middle Name:
Last Name:THAKRAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6033 AIRLINE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-4209
Mailing Address - Country:US
Mailing Address - Phone:713-694-2802
Mailing Address - Fax:713-694-2833
Practice Address - Street 1:6033 AIRLINE DR
Practice Address - Street 2:SUITE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-4209
Practice Address - Country:US
Practice Address - Phone:713-694-2808
Practice Address - Fax:713-694-2833
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101251832207R00000X, 208000000X
TXP3462207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics