Individual provider · Type 1 NPI

Ravi Konidala, MD

Family Medicine Physician · Crockett, TX

NPI number 1124013552 Active

Practice location

1050 E Loop 304, Suite 200, Etmc Rural Health Clinic
Crockett, TX 75835-1814

Call (936) 544-5132 Map

Fax (936) 544-8029

Mailing address

511 Heath St
Crockett, TX 75835-2290

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Family Medicine) Physician 207QG0300XM6981 (TX)
Family Medicine Physician Primary 207Q00000XM6981 (TX)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8 other providers at this address

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About NPI 1124013552

Ravi Konidala, MD's National Provider Identifier is 1124013552, issued on Sep 12, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Crockett, TX. The record was last updated on Jun 2, 2011.