Provider Demographics
NPI:1487677936
Name:MURTHY, KONAPPA H (MD)
Entity Type:Individual
Prefix:DR
First Name:KONAPPA
Middle Name:H
Last Name:MURTHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1511 10TH ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-4430
Mailing Address - Country:US
Mailing Address - Phone:940-723-1672
Mailing Address - Fax:940-723-1817
Practice Address - Street 1:1511 10TH ST
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-4430
Practice Address - Country:US
Practice Address - Phone:940-723-1672
Practice Address - Fax:940-723-1817
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG2791207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX19739Medicare UPIN