Sridevi Konkimalla
Internist Nephrologist
3765 S Alameda St Ste 304
Corpus Christi
, Texas 78411-1671
Sridevi Konkimalla
Internist Nephrologist
3765 S Alameda St Ste 304
Corpus Christi
, Texas 78411-1671
(361) 857-0572
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About
Features
Specialties
- Internist
- Nephrologist
Languages spoken
- English
Location
First Address
- Sridevi Konkimalla
- Po Box 61160
- Corpus Christi, TX
- Zip : 78466-1160
- Fax : (361) 857-0572
- Phone : (361) 884-2904
Second Address
- Sridevi Konkimalla
- 3765 S Alameda St Ste 304
- Corpus Christi, TX
- Zip : 78411-1671
- Fax : (361) 884-2919
- Phone : (361) 884-2904
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MT187482 | PA |
| N | 111NI0900X | Internist | MT187482 | PA |
| N | 207RN0300X | Nephrologist | 7846 | SD |
| Y | 207RN0300X | Nephrologist | R3894 | TX |
National Provider Identifier
| NPI | 1053477372 |
|---|---|
| Provider Name | Sridevi Konkimalla |
| First Address | Corpus Christi, TX 78466-1160 |
| Second Address | Corpus Christi, TX 78411-1671 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2006 |
| Last Update Date | 04/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 6006350 | (05) | SD |
| R3894 | TEXAS MEDICAL BOARD (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.