Wadera, Pramodh Kumar

Wadera, Pramodh Kumar is an individual health care provider with primary practice located at 1500 Citywest Blvd Ste 300 , Houston TX 77042-2549. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wadera, Pramodh Kumar can be contacted via phone (972) 233-1999.

Contact Information

Primary practice address
1500 Citywest Blvd Ste 300 Houston TX 77042-2549
Phone: (972) 233-1999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036073410 Illinois
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G1575 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X G1575 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G1575 Texas

Profile Details

NPI number 1417949553
LBN Legal business name Wadera, Pramodh Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417949553 NPPES
Texas Other 89807B BLUE CROSS BLUE SHIELD
Texas MEDICAID 136242809 BLUE CROSS BLUE SHIELD
Texas MEDICAID 136242811 BLUE CROSS BLUE SHIELD
Texas Other 214881 BLUE CROSS BLUE SHIELD
Texas MEDICAID 136242810 BLUE CROSS BLUE SHIELD

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