Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAVI KONIDALA, MD
ActiveRAVI KONIDALA, MD is a Family Medicine healthcare provider located in CROCKETT, Texas. NPI 1124013552 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · CROCKETT, TX
Registration Details
- NPI Number
- 1124013552
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2005 (20.912104442302 yrs)
- Last Updated
- Jun 2, 2011
- Licenses
-
M6981 (TX)M6981 (TX)
Practice Information
- Address
-
1050 E LOOP 304SUITE 200, ETMC RURAL HEALTH CLINICCROCKETT, TX, 758351814Browse TX providers · Browse ZIP 75835
- Phone
- 9365445132
- Fax
- 9365448029
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in CROCKETT, TX
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER R HAECKLER | MD | 1134111263 |
| RICHARD JOSEPH KELLY | MD | 1376535419 |
| FRANK A SMITH | MD | 1376535542 |
| MICHAEL R MCLEOD | M.D. | 1104897750 |
| DR. EVERETT PERRY RAMSEY III | M.D | 1457329039 |
| STANLEY ROGER SPEEGLE | MD | 1720022593 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.