MEDICARE: KRISHNA V.R. SUNKUREDDI, M.D.,P.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	J3628	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00U40Z	OTHER	TX	BLUE CROSS

General Provider Information

NPI Number	:	1710077235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRISHNA V.R. SUNKUREDDI, M.D.,P.A

Provider Business Mailing Address
First Line	:	855 ROCKMEAD DR STE 301
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3300
Country	:	US
Telephone Number	:	281-358-0502
Fax Number	:	281-358-0085

Provider Business Practice Location Address
First Line	:	855 ROCKMEAD DR STE 301
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-2102
Country	:	US
Telephone Number	:	281-358-0502
Fax Number	:	281-358-0085

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KRISHNA V.R SUNKUREDDI
Credential	:	M.D
Telephone Number	:	281-358-0502

Provider Enumeration Date	:	10/13/2006
Last Update Date	:	01/08/2026

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