Individual
WASEEM PERACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12051 WESTPARK DR, STE 200, HOUSTON, TX 77082-5556
(281) 558-8260
(281) 531-8087
Mailing address
11152 WESTHEIMER RD, 702, HOUSTON, TX 77042-3208
(281) 558-8260
(281) 531-8087
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
L0902
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030181403
—
TX
01
—
10011273
AMERIGROUP
TX
05
—
162944602
—
TX
01
—
390343
WELLCARE
TX
01
—
86872Z
BCBS HMO
TX
01
—
8H8370
BCBS
TX
01
—
DA1849
RAILROAD MEDICARE
TX
Enumeration date
07/18/2005
Last updated
03/26/2014
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