Provider Demographics
NPI:1356357875
Name:PALIMAR, PRAKASH (MD)
Entity type:Individual
Prefix:DR
First Name:PRAKASH
Middle Name:
Last Name:PALIMAR
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 1:1801 S 5TH ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-2927
Mailing Address - Country:US
Mailing Address - Phone:956-686-0578
Mailing Address - Fax:
Practice Address - Street 1:1801 S.5TH STREET
Practice Address - Street 2:SUITE 210
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503
Practice Address - Country:US
Practice Address - Phone:956-686-0578
Practice Address - Fax:956-618-1061
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF6297207RP1001X, 207R00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX099969001Medicaid
TX110136118OtherMEDICARE RR
TX099969001Medicaid
TX85Z561Medicare PIN