Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ismail S Penukonda, MD

Individual provider Family Medicine Physician · NPI 1710144993

Dr. Ismail S Penukonda, MD is a Family Medicine Physician in Grapevine, Texas. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3213 Brighton Cv
Grapevine, TX 76051-1101
Phone: (737) 786-5700
Fax: (817) 818-1805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD.204783 (LA)

Record details

NPI number1710144993
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2008
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024

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