Konkimalla, Sridevi

Konkimalla, Sridevi is an individual health care provider with primary practice located at 3765 S Alameda St Ste 304 , Corpus Christi TX 78411-1671. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Konkimalla, Sridevi can be contacted via phone (361) 884-2904.

Contact Information

Primary practice address
3765 S Alameda St Ste 304 Corpus Christi TX 78411-1671
Phone: (361) 884-2904
Fax: (361) 884-2919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MT187482 Pennsylvania
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 7846 South Dakota
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X R3894 Texas

Profile Details

NPI number 1053477372
LBN Legal business name Konkimalla, Sridevi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated May 4th, 2021 - about 4 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 1053477372 NPPES
South Dakota MEDICAID 6006350
South Dakota Other R3894

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