Healthcare Provider Details

I. General information

NPI: 1811108251
Provider Name (Legal Business Name): MURALIDHAR KONDAPANENI MBBS PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

473 W 12TH AVE DIVISION OF PULMONARY ALLERGY CRITICAL CARE & SLEEP MED
COLUMBUS OH
43210-1252
US

IV. Provider business mailing address

2 GREENWAY PLZ STE 900
HOUSTON TX
77046-0205
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-4925
  • Fax:
Mailing address:
  • Phone: 171-379-8175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMC-237
License Number StateGU
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number036
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMC-237
License Number StateGU
# 4
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberS8061
License Number StateTX
# 5
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberS8061
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: