Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Pavan Devulapally, MD

Individual provider Internal Medicine Physician · NPI 1306085477

Dr. Pavan Devulapally, MD is a Nephrology in San Antonio, Texas. Qualified in 2000, 26 years ago. Practices with M Reza Mizani MD PA, a 29-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
26
Licensed in
TX
In the registry since
2009
Specialties on file
2
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

4511 NW Loop 410 Ste 104
San Antonio, TX 78229-5124
Phone: (210) 614-7900
Fax: (210) 615-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 205 22nd St, Hondo, TX 78861-2520 — (210) 614-7900
  • 19910 Interstate 35 S Ste 102, Lytle, TX 78052-3547 — (210) 614-7900

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence P9550 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence P9550 (TX)

Record details

NPI number1306085477
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 13, 2009
Last updated in NPPESJuly 29, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice M Reza Mizani Md Pa — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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