Provider Demographics
NPI:1740299254
Name:TIWARI, PINKY S (MD)
Entity type:Individual
Prefix:DR
First Name:PINKY
Middle Name:S
Last Name:TIWARI
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 1:6560 FANNIN ST STE 1630
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2734
Mailing Address - Country:US
Mailing Address - Phone:713-790-1775
Mailing Address - Fax:713-790-1605
Practice Address - Street 1:6560 FANNIN ST STE 1630
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2734
Practice Address - Country:US
Practice Address - Phone:713-790-1775
Practice Address - Fax:713-790-1605
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9829174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX141967302Medicaid
TXG32556Medicare UPIN
TX141967302Medicaid