RAVI KONIDALA, MD
Family Medicine
Active
Individual
NPI: 1124013552
Practice Address
1050 E LOOP 304SUITE 200, ETMC RURAL HEALTH CLINIC
Crockett, TX 75835
Phone: (936) 544-5132
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine - Geriatric Medicine | 207QG0300X | No | M6981 (TX) |
| Family Medicine | 207Q00000X | Yes | M6981 (TX) |
Frequently Asked Questions
NPI 1124013552 is the National Provider Identifier for RAVI KONIDALA, MD, a Family Medicine provider located in Crockett, TX. This NPI was enumerated on September 12, 2005.
RAVI KONIDALA, MD practices at 1050 E LOOP 304, SUITE 200, ETMC RURAL HEALTH CLINIC, Crockett, TX 75835.
Quick Facts
- NPI
- 1124013552
- Type
- Individual
- Enumerated
- Sep 12, 2005
- Last Updated
- Jun 2, 2011
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