Provider Demographics
NPI:1427375237
Name:NYALAKONDA, HARITA (MD)
Entity Type:Individual
Prefix:DR
First Name:HARITA
Middle Name:
Last Name:NYALAKONDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 57933
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7933
Mailing Address - Country:US
Mailing Address - Phone:281-724-8336
Mailing Address - Fax:281-336-1619
Practice Address - Street 1:600 N KOBAYASHI STE 308
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4841
Practice Address - Country:US
Practice Address - Phone:817-248-3362
Practice Address - Fax:281-336-1619
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ2358207RI0200X
TXBP20047149207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease