Provider Demographics
NPI:1700992641
Name:PALVADI, PRITI (MD)
Entity Type:Individual
Prefix:DR
First Name:PRITI
Middle Name:
Last Name:PALVADI
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 1:4141 VISTA RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504-2113
Mailing Address - Country:US
Mailing Address - Phone:713-947-3100
Mailing Address - Fax:713-947-6103
Practice Address - Street 1:4141 VISTA RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2113
Practice Address - Country:US
Practice Address - Phone:713-947-3100
Practice Address - Fax:713-947-6103
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN32262084N0600X, 2084S0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00X185OtherMDCR GRP PTAN BRAZORIA CO
TXDB6392OtherRR MDCR GRP PTAN
TX00106WOtherMDCR GRP PTAN HARRIS CO
TX302679101OtherMDCD GRP TPI BRAZORIA CO
TX153449704OtherMDCD GRP TPI HARRIS CO