Provider Demographics
NPI:1801059977
Name:PARAMESWARAN, ANGELO DUSHI (MD)
Entity type:Individual
Prefix:
First Name:ANGELO
Middle Name:DUSHI
Last Name:PARAMESWARAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5090 RICHMOND AVE
Mailing Address - Street 2:# 1003
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-7402
Mailing Address - Country:US
Mailing Address - Phone:832-318-0381
Mailing Address - Fax:832-575-6724
Practice Address - Street 1:22485 TOMBALL PKWY STE 2100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1560
Practice Address - Country:US
Practice Address - Phone:281-955-7577
Practice Address - Fax:281-955-5875
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5932207XX0005X, 207XX0005X, 207X00000X
KY42431207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8JG817OtherBC/BS
TXB109933Medicare PIN