Provider Demographics
NPI:1689994840
Name:MURTINENI, U KANTI (MD)
Entity Type:Individual
Prefix:
First Name:U KANTI
Middle Name:
Last Name:MURTINENI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:U.KANTI
Other - Middle Name:
Other - Last Name:MURTINENI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-4000
Mailing Address - Fax:
Practice Address - Street 1:4545, POAT OAK PLACE
Practice Address - Street 2:SUITE #130
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027
Practice Address - Country:US
Practice Address - Phone:713-960-8008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8429207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine