Healthcare Provider Details

I. General information

NPI: 1679197461
Provider Name (Legal Business Name): ARTHI KOVVALI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2020
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 UNIVERSITY BLVD MEDICAL RESEARCH BUILDING STE 8.138
GALVESTON TX
77555-0177
US

IV. Provider business mailing address

301 UNIVERSITY BLVD MEDICAL RESEARCH BUILDING STE 8.138
GALVESTON TX
77555-1069
US

V. Phone/Fax

Practice location:
  • Phone: 409-772-1922
  • Fax: 409-772-8709
Mailing address:
  • Phone: 409-772-1922
  • Fax: 409-772-8709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberU9577
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberBP10071498
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberU9577
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: