MEDICARE: MONICA KOVURI

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	207R00000X	Internal Medicine Physician	W0208	TX

General Provider Information

NPI Number	:	1902539000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA KOVURI

Provider Business Mailing Address
First Line	:	11937 US HIGHWAY 271
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75708-3154
Country	:	US
Telephone Number	:	903-877-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	2808 S MAIN ST
Second Line	:
City	:	LINDALE
State	:	TX
Zip	:	75771-7774
Country	:	US
Telephone Number	:	903-877-7200
Fax Number	:

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

Provider Enumeration Date	:	07/06/2022
Last Update Date	:	12/08/2025

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Directions to “ MONICA KOVURI ” Practice Location

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