Pinky S. Tiwari, M.D.

Dr. Tiwari is Board Certified in Neurology with subspecialty training in Electromyography/EMG (also known as Electrodiagnostic Medicine) and ElectroEncephalography (EEG). She has extensive experience in General Neurology, having practiced in the Texas Medical Center since 1996. She provides specialized testing in Nerve Conduction Velocity and EMG for the diagnosis of specific nerve and muscle disease and in preparation for Neurosurgery, Spine Surgery and Carpal Tunnel Release.


  • 2016-Current
  • HOUSTON M.D.s, P.A.
    Multispecialty group
    Houston, TX
  • 1997-2016
  • Pinky S. Tiwari, M.D., P.A.
    Solo practice
    Houston, Texas
  • 1996-1997
  • The Neurology Center
    Group practice
    Houston, Texas


  • 1995-1996
  • Fellowship in Clinical Neurophysiology
    Baylor College of Medicine
    Houston, Texas
  • 1994-1995
  • Fellowship in Electrodiagnosis
    Baylor College of Medicine
    Houston, Texas
  • 1991-1994
  • Residency in Neurology
    Baylor College of Medicine
    Houston, Texas
  • 1990-1991
  • Internship in Internal Medicine
    Baylor College of Medicine
    Houston, Texas
  • 1986-1990
  • Medical School
    Tulane University School of Medicine
    New Orleans, Louisiana
  • 1982-1986
  • B.S. in Biophysics
    Newcomb College of Tulane University
    New Orleans, Louisiana


  • Board Certified, American Board of Electrodiagnostic Medicine, 1999, recertified 2011
  • Board Certified, American Board of Psychiatry and Neurology, 1995, re-certified, August 2005 and February 2015
  • Board Eligible, Added Qualifications in Clinical Neurophysiology, 1996
  • Medical License, State of Texas, 1996
  • Medical License, State of Louisiana, 1990


  • Nominee for the Tulane Medical Alumni Association Outstanding Alumnus Award, 2015
  • Top Doctor, H Texas Magazine, 2010, 2011, 2012, 2013, 2014, 2015, 2016
  • American’s Top Physicians, 2010, 2011, 2012, 2013, 2014, 2015
  • Victor Horsley Clinical Research Fellowship, Epilepsy Foundation Of America, 1995
  • Honors in Biophysics, 1986
  • Tulane Scholar, 1982-1986
  • Phi Eta Sigma, 1982


  • American Academy of Neurology
  • American Association of Neuromuscular and Electrodiagnostic Medicine
  • Texas Neurological Society
  • American Medical Association
  • Texas Medical Association
  • Harris County Medical Society


  • Shelbure III, Samuel A., Kielhofner, Marcia A., Tiwari, Pinky S. (2003, July)
  • Cerebellar involvement in legionellosis: Case report and review of literature
  • Mizrahi, EM, Safi, H. Miller, III, CC, Tiwari, PS: Long-term consequences on the electroencephalogram of profound hypothermia, circulatory arrest and adjunctive retrograde cerebral blood flow during ascending aortic arch replacement.
  • Abstract, American Clinical Neurophysiology Society Annual Meeting, October 3-5, 1998
  • Killian, JM, Tiwari PS, Jacobson S, Jackson RD, Lupski JR: Longitudinal studies of the duplication form of Charcot-Marie-Tooth polyneuropathy. Muscle and Nerve 1996; 19:74-79


  • Teaching third and fourth-year medical students from University of Texas Medical School, Houston, rotating on neurology, 2005-2015
  • Involved in stent v. CEA clinical trials at SLEH, including Sapphire Carotid Stent Trial, 2000-2008


  • Neurology Peer Review Committee – BSLMC. 2003-Present
  • Neurology Representative (one of two ) to St. Luke’s Independent Practice
  • Association, Inc., 2012 –present
  • BSLMC Credentials Committee , 2012 – present
  • IPA Credentials Committee. 2015 – present
  • IPA Secretary, 2018
  • NCV Study - The nerve conduction velocity study (NCV) is done by a neurologist. He will attach a small electrode to your arm or leg and stimulate the affected limb with a small amount of electricity.
  • Calculations are then done to determine the speed at which the nerve conducts electricity. This test takes approximately a half hour; it is only mildly uncomfortable. Generally there are no after effects.
  • EMG Technique – The electromyography (EMG) is also performed by a neurologist, and will be used to check your muscle and nerve function. A very fine needle, like an acupuncture needle, is inserted into specific muscles to allow the doctor to observe the electrical activity in these muscles. The muscles that will be evaluated with this needle are determined by the symptoms you have experienced. The test takes approximately 10 minutes. As with the NCV the examination is only slightly uncomfortable. There may be some slight localized tenderness for 2-3 hours after the procedure which may be relieved by Tylenol or ibuprofen.
  • MRI and MRA Imaging - Magnetic resonance imaging (MRI) and Magnetic Resonance Angiography (MRA) renders a sophisticated image of the brain and the arteries of the brain for diagnosis of neurological disorders.
  • CT Scan - Computed tomography (CT) rapid computerized medical imaging of the brain using x-rays.
  • CTA Scan - Computed tomography angiography (CTA) uses x-rays and a radioactive dye in order to investigate causes of stroke such as carotid stenosis, arteriovenous malformations and aneurysms.
  • Neuropsychological Testing – extensive, in-depth testing of intellectual functions performed by a clinical psychologist or neuropsychologist to evaluate disorder such as Alzheimer’s Disease or stroke-related dementia.
  • Stroke
  • Alzheimer’s Disease
  • Epilepsy
  • Adult Headache and Migraine
  • Vertigo
  • Multiple Sclerosis
  • Geriatric Neurology
  • Neurological Complications of Pregnancy, Including Headache
  • Fainting Spells / Syncope
  • Parkinson’s Disease
  • Dementia
  • Movement Disorders and Tremor
  • Brain Tumor
  • Gait Disorders and Recurrent Falling in the Elderly
  • Myasthenia Gravis
  • Neurological Complications of Diabetes, Cancer and Other Medical Disorders
  • Peripheral Neuropathy
  • Myopathy
  • Sport-Related Concussion

Working with Your Neurologist Handout