Individual
DR. PRASHANTH REDDY PALWAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22999 HIGHWAY 59 N, SUITE 230, KINGWOOD, TX 77339-4412
(281) 319-4700
Mailing address
PO BOX 8455, THE WOODLANDS, TX 77387-8455
(281) 319-4700
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
L 9414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8U7854
BLUE CROSS BLUE SHIELD
TX
01
—
P00295632
RAIL ROAD MEDICARE
TX
Enumeration date
06/13/2006
Last updated
02/28/2014
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