Ravi Konidala, MD

NPI #1124013552 in Crockett, Texas

Provider Information

NPI Number: 1124013552
Entity Type: Individual
Name: Ravi Konidala, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Sep 12, 2005
Last Updated: Jun 2, 2011

Practice Location

Address: 1050 E LOOP 304
Address 2: SUITE 200, ETMC RURAL HEALTH CLINIC
City: Crockett
State: Texas
ZIP Code: 75835-1814
Phone: (936) 544-5132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X
Family Medicine	207Q00000X	Primary

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