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NPI Code Detail

MEDICARE: BHARATHI PRATHAP KONDUR MD

MEDICARE: BHARATHI PRATHAP KONDUR MD
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
1207R00000XInternal Medicine PhysicianL4502TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P00440381OTHERTXRR MCR PTAN

General Provider Information

NPI Number : 1073567509
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHARATHI PRATHAP KONDUR MD
Provider Business Mailing Address
First Line : 7901 METROPOLIS DR
Second Line :
City : AUSTIN
State : TX
Zip : 78744-3111
Country : US
Telephone Number : 512-837-7000
Fax Number :
Provider Business Practice Location Address
First Line : 7901 METROPOLIS DR
Second Line :
City : AUSTIN
State : TX
Zip : 78744-3111
Country : US
Telephone Number : 512-837-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 11/10/2015

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Directions to “ BHARATHI PRATHAP KONDUR MD” Practice Location

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