MEDICARE: SWETHA KONDAVEETI 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
1	2084P0800X	Psychiatry Physician	W0207	TX

General Provider Information

NPI Number	:	1437731833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SWETHA KONDAVEETI MD

Provider Business Mailing Address
First Line	:	2911 EL DORADO BLVD APT 5202
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-5743
Country	:	US
Telephone Number	:	859-559-3979
Fax Number	:

Provider Business Practice Location Address
First Line	:	8080 N STADIUM DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1829
Country	:	US
Telephone Number	:	832-822-3750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2021
Last Update Date	:	12/09/2025

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