Provider Demographics
NPI:1598770091
Name:GOLCONDA, MURALIKRISHNA SUDHEENDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:MURALIKRISHNA
Middle Name:SUDHEENDRA
Last Name:GOLCONDA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2233 STOCKTON BLVD
Mailing Address - Street 2:HSF ROOM 2011
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1418
Mailing Address - Country:US
Mailing Address - Phone:916-734-8491
Mailing Address - Fax:916-734-8351
Practice Address - Street 1:4150 V ST
Practice Address - Street 2:SUITE 3500
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1460
Practice Address - Country:US
Practice Address - Phone:916-734-8491
Practice Address - Fax:916-734-8351
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-11-20
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Provider Licenses
StateLicense IDTaxonomies
ORMD23005207RN0300X
CAC52858207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR287592Medicaid
CA00C528580Medicare PIN
F66292Medicare UPIN