Provider Demographics
NPI:1013144690
Name:OOLUT, PRIYA N (MD)
Entity type:Individual
Prefix:
First Name:PRIYA
Middle Name:N
Last Name:OOLUT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16659 SOUTHWEST FWY STE 421
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2661
Mailing Address - Country:US
Mailing Address - Phone:281-325-0005
Mailing Address - Fax:713-500-8630
Practice Address - Street 1:16659 SOUTHWEST FWY STE 421
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2661
Practice Address - Country:US
Practice Address - Phone:281-325-0005
Practice Address - Fax:713-512-2247
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9386207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX179374702Medicaid
TX8CC218OtherBCBSTX
TX179374702Medicaid