Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 25MA09446600 | NJ |
NPI | 1396905667 |
---|---|
Provider Name | Dr. Venkata Karthik Jonna |
First Address | Webster, TX 77598-8538 |
Second Address | Webster, TX 77598-4841 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 26/07/2021 |