Provider Demographics
NPI:1235374224
Name:RAAYASA, SRIKANTH KRISHNAMURTHY (MD)
Entity Type:Individual
Prefix:DR
First Name:SRIKANTH
Middle Name:KRISHNAMURTHY
Last Name:RAAYASA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:23814 HIGHWAY 59 N
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1510
Mailing Address - Country:US
Mailing Address - Phone:281-312-5558
Mailing Address - Fax:281-727-0827
Practice Address - Street 1:23814 HIGHWAY 59 N
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1510
Practice Address - Country:US
Practice Address - Phone:281-312-5558
Practice Address - Fax:281-727-0827
Is Sole Proprietor?:No
Enumeration Date:2008-12-05
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP0278207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8FB391OtherBCBS OF TEXAS
TX8FB391OtherBCBS OF TEXAS