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Premal Dilip Lulla

Internal Medicine

Allopathic & Osteopathic Physicians

1 Baylor Plz, Section Of Hematology/Oncology, Houston, TX 77030-3411

PECOS Enrollment

This provider is enrolled in PECOS as PREMAL LULLA.

Based on the most recent information from CMS, provider Premal Dilip Lulla is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:26 AM.

Profile Details

Provider ID
1023343357
Provider Type
Individual
Full Name
Lulla, Premal Dilip
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/5/2009
Last Updated
4/12/2017

Contact Information

Practice Location

1 Baylor Plz, Section Of Hematology/Oncology, Houston, TX 77030-3411

(713) 798-0190

Unlisted Fax

Mailing Location

1 Baylor Plz, Houston, TX 77030-3411

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RH0003X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License P7801 Texas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License BP10034497 Texas

Premal Dilip Lulla

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Doostan, Iman

Chauhan, Ayushi

Ishizawa, Jo

Zhao, Dan

Oke, Oluchi

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Sun, Kai

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Kamal, Anam