Ravi Konidala, MD
Ravi Konidala, MD is a Geriatric Medicine (Family Medicine) Physician in Crockett, Texas. Licensed in Texas. Registered with an NPI since 2005.
- Licensed in
- TX
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1050 E Loop 304 Ste 200 Etmc Rural Health ClinicCrockett, TX 75835-1814
Phone: (936) 544-5132
Fax: (936) 544-8029
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence M6981 (TX) |
|---|---|
| Geriatric Medicine (Family Medicine) Physician | Taxonomy 207QG0300X · Licence M6981 (TX) |
Record details
| NPI number | 1124013552 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | September 12, 2005 |
| Last updated in NPPES | June 2, 2011 |
| Mailing address | 511 Heath St, Crockett, TX 75835-2290 |