Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Premswarup Joel Immaraj, MD

Individual provider Emergency Medicine Physician · NPI 1356377915

Premswarup Joel Immaraj, MD is an Emergency Medicine in Huntsville, Texas. Qualified in 1979, 47 years ago. Practices with Concord Medical Group of Texas PLLC, a 317-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
47
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

110 Memorial Hospital Dr
Huntsville, TX 77340-4940
Phone: (936) 291-3411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence L4655 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence L4655 (TX)

Record details

NPI number1356377915
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESFebruary 28, 2020
Certification dateFebruary 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice Concord Medical Group Of Texas Pllc — 317 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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