Konduri, Kameswari Surya
Konduri, Kameswari Surya is an individual health care provider with primary practice located at 1115 Kinwest Pkwy Suite 100, Irving TX 75063-3409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Konduri, Kameswari Surya can be contacted via phone (972) 401-0545.Contact Information
Primary practice address
1115 Kinwest Pkwy Suite 100
Irving TX 75063-3409
Phone: (972) 401-0545
Fax: (972) 401-0614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | M2678 | Texas |
Profile Details
| NPI number | 1972620250 |
|---|---|
| LBN Legal business name | Konduri, Kameswari Surya |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Jun 30th, 2009 - about 15 years ago |
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 | 1972620250 | NPPES |
| Texas | MEDICAID | 199239801 | |
| Texas | Other | 8BQ921 |
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