Organization Active NPI

Immuhealthcare

  • Family Medicine Physician
  • Sugar Land, TX
National Provider Identifier
1861085318
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IMMUHEALTHCARE
Practice address
202 Industrial Blvd Ste 503
Sugar Land, TX 77478-2702
Phone
(346) 998-9992
NPI assigned
Feb 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Devesh Agarwal, MD
Title
Owner
Phone
(346) 998-9992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

202 Industrial Blvd Ste 503
Sugar Land, TX 77478-2702

Mailing address

202 Industrial Blvd Ste 503
Sugar Land, TX 77478-2702
Phone (346) 998-9992

Other practice location 1

18721 University Blvd Ste 170
Sugar Land, TX 77479-4718
Phone (346) 998-9992

Other identifiers 2

IdentifierTypeStateIssuer
1R7716OtherTXMEDICARE
428578501MedicaidTX

Other names 1

  • IMMUHEALTHCARE Doing business as

National Provider Directory

National Provider Directory

Locations

202 Industrial Blvd
Ste 503
Sugar Land, TX 77478
Phone (346) 998-9991

18721 University Blvd
Ste 170
Sugar Land, TX 77479
Phone (346) 998-9992

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1861085318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 INDUSTRIAL BLVD STE 503",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782702",
            "telephone_number": "346-998-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 INDUSTRIAL BLVD STE 503",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782702",
            "telephone_number": "346-998-9992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18721 University Blvd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774794718",
            "country_code": "US",
            "telephone_number": "346-998-9992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMMUHEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "AGARWAL",
        "authorized_official_first_name": "DEVESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-998-9992",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1R7716",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428578501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMMUHEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IMMUHEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.