Provider Demographics
NPI:1275752503
Name:MARRI, KAVITHA (MD)
Entity Type:Individual
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First Name:KAVITHA
Middle Name:
Last Name:MARRI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3925 FAIRMONT PARKWAY
Mailing Address - Street 2:PEDIATRIC & ADOLESCENT HEALTH CENTER-PASADENA
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77504
Mailing Address - Country:US
Mailing Address - Phone:713-873-6300
Mailing Address - Fax:281-487-0196
Practice Address - Street 1:3925 FAIRMONT PARKWAY
Practice Address - Street 2:PEDIATRIC & ADOLESCENT HEALTH CENTER-PASADENA
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504
Practice Address - Country:US
Practice Address - Phone:713-873-6300
Practice Address - Fax:281-487-0196
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
TXR00722084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology