Puthenparambil, Larry
Puthenparambil, Larry is an individual health care provider with primary practice located at 8540 Broadway St Ste 210 , Pearland TX 77584-7710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Puthenparambil, Larry can be contacted via phone (832) 727-1771.Contact Information
Primary practice address
8540 Broadway St Ste 210
Pearland TX 77584-7710
Phone: (832) 727-1771
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | P2345 | Texas |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | P2345 | Texas |
Profile Details
| NPI number | 1679718506 |
|---|---|
| LBN Legal business name | Puthenparambil, Larry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2008 |
| Last updated | Jul 27th, 2023 - about 3 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 | 1679718506 | NPPES |
| Texas | MEDICAID | 301100908 |
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