# SELVARAJ E. PRAVINKUMAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124113493
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | 40416 | TX | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | M7535 | TX | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 02/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 165551601 | — | TX |
| 01 | — | 8M7902 | BCBS | TX |
| 01 | — | P00295396 | RR MEDICARE | TX |