Individual provider · Type 1 NPI

Revanth Poondla, MD

Family Medicine Physician · Georgetown, TX

NPI number 1356043475 Active

Practice location

4945 Williams Dr
Georgetown, TX 78633-2008

Fax (512) 819-0520

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other practice locations

  • 425 University Blvd Ste 500, Round Rock, TX 78665-1047 · (512) 509-3404

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XV9100 (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.

41 other providers at this address

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About NPI 1356043475

Revanth Poondla, MD's National Provider Identifier is 1356043475, issued on Mar 21, 2023. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Georgetown, TX. The record was last updated on Sep 17, 2026.