Kovvali, Venkata R

Kovvali, Venkata R is an individual health care provider with primary practice located at 209 Gaslight Blvd , Lufkin TX 75904-3134. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Kovvali, Venkata R can be contacted via phone (936) 632-8787.

Contact Information

Primary practice address
209 Gaslight Blvd Lufkin TX 75904-3134
Phone: (936) 632-8787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X J6148 Texas
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X J6148 Texas

Profile Details

NPI number 1629054317
LBN Legal business name Kovvali, Venkata R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jan 9th, 2024 - about 10 months 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 1629054317 NPPES
Texas MEDICAID 084979601

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