Provider Demographics
NPI:1043079726
Name:AISHWARYA KADABA SRINIVAS MURTHY, FNU
Entity Type:Individual
Prefix:DR
First Name:FNU
Middle Name:
Last Name:AISHWARYA KADABA SRINIVAS MURTHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AISHWARYA
Other - Middle Name:SRINIVAS
Other - Last Name:MURTHY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:22999 HWY 59 N
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4412
Mailing Address - Country:US
Mailing Address - Phone:281-570-5491
Mailing Address - Fax:
Practice Address - Street 1:22999 HWY 59 N
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4412
Practice Address - Country:US
Practice Address - Phone:281-570-5491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program