Pemmaraju, Naveen
Pemmaraju, Naveen is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4000. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pemmaraju, Naveen can be contacted via phone (713) 792-6161.Contact Information
Primary practice address
1515 Holcombe Blvd
Houston TX 77030-4000
Phone: (713) 792-6161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N1832 | Texas |
Profile Details
| NPI number | 1578618161 |
|---|---|
| LBN Legal business name | Pemmaraju, Naveen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Sep 30th, 2020 - about 6 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 | 1578618161 | NPPES |
| Texas | MEDICAID | 200735302 | |
| Texas | Other | 8BH981 |
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