Healthcare Provider Details

I. General information

NPI: 1639803943
Provider Name (Legal Business Name): USN CIRCLE OF CARE, P.A
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2022
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13656 BRETON RIDGE ST UNIT A&H
HOUSTON TX
77070-6081
US

IV. Provider business mailing address

850 W RIO SALADO PKWY STE 201
TEMPE AZ
85281-3812
US

V. Phone/Fax

Practice location:
  • Phone: 281-429-8780
  • Fax: 281-763-7930
Mailing address:
  • Phone: 480-610-6100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DEVARAJ MUNIKRISHNAPPA
Title or Position: OWNER
Credential: MD
Phone: 713-598-3040