Immaraj, Premswarup Joel
Immaraj, Premswarup Joel is an individual health care provider with primary practice located at 110 Memorial Hospital Dr , Huntsville TX 77340-4940. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Immaraj, Premswarup Joel can be contacted via phone (936) 291-3411.Contact Information
Primary practice address
110 Memorial Hospital Dr
Huntsville TX 77340-4940
Phone: (936) 291-3411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L4655 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L4655 | Texas |
Profile Details
| NPI number | 1356377915 |
|---|---|
| LBN Legal business name | Immaraj, Premswarup Joel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Feb 28th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356377915 | NPPES |
| Texas | MEDICAID | 168572909 | |
| Texas | MEDICAID | 168572904 | |
| Texas | MEDICAID | 168572903 |
Popular Providers
-
Aggarwala, Gaurav
119 Medical Park Ln Ste D , Huntsville TX 77340-4980 -
Olson, Karin Elisa
Methodist Retirement Communities Creekside 1433 Veteran'S Memorial Parkway, Huntsville TX 77340 -
Khan, Nabeel A
130 Medical Center Pkwy Suite 1, Huntsville TX 77340-4942 -
Bhuriwala, Ali Akbar
1508 11Th St , Huntsville TX 77340-3816 -
Sehgal, Sudhir
116 Medical Park Ln Ste B , Huntsville TX 77340-4978 -
Durand, Darnel Michael
1524 11Th St Ste B , Huntsville TX 77340-3800 -
Schulte, Jayne Renee
100 Medical Center Pkwy Ste 1000 , Huntsville TX 77340-4966 -
Ali Khan, Mir Mujtaba
179 Interstate 45 S Suite 300, Huntsville TX 77340-4223