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Individual
SELVARAJ E. PRAVINKUMAR
Active
Individual
SELVARAJ E. PRAVINKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
40416
TX
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
M7535
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165551601
—
TX
01
—
8M7902
BCBS
TX
01
—
P00295396
RR MEDICARE
TX
Enumeration date
10/04/2006
Last updated
02/07/2022
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