Govindaraju, Kanakadurga
Govindaraju, Kanakadurga is an individual health care provider with primary practice located at 4107 Spicewood Springs Rd Ste 100 , Austin TX 78759-8645. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Govindaraju, Kanakadurga can be contacted via phone (512) 397-3360.Contact Information
Primary practice address
4107 Spicewood Springs Rd Ste 100
Austin TX 78759-8645
Phone: (512) 397-3360
Fax: (512) 343-7107
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301065815 | Michigan |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | L3318 | Texas |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L3318 | Texas |
Profile Details
NPI number | 1003998840 |
---|---|
LBN Legal business name | Govindaraju, Kanakadurga |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 20th, 2006 |
Last updated | Jan 19th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003998840 | NPPES |
Texas | MEDICAID | 193186707 | |
Texas | MEDICAID | 193186712 | |
Texas | MEDICAID | 193186706 | |
Texas | Other | 106362 | |
Texas | MEDICAID | 193618708 |
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