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
Fax: (972) 401-0614
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972620250 NPPES
Texas MEDICAID 199239801
Texas Other 8BQ921

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