Provider Demographics
NPI:1710077235
Name:KRISHNA V.R. SUNKUREDDI, M.D.,P.A
Entity Type:Organization
Organization Name:KRISHNA V.R. SUNKUREDDI, M.D.,P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KRISHNA
Authorized Official - Middle Name:VR
Authorized Official - Last Name:SUNKUREDDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-358-0502
Mailing Address - Street 1:1406 STONEHOLLOW DR STE 600
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2296
Mailing Address - Country:US
Mailing Address - Phone:281-358-0502
Mailing Address - Fax:281-358-0085
Practice Address - Street 1:1406 STONEHOLLOW DR STE 600
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2296
Practice Address - Country:US
Practice Address - Phone:281-358-0502
Practice Address - Fax:281-358-0085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ36282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00U40ZOtherBLUE CROSS
TXTXB112052Medicare PIN
TX00U40ZOtherBLUE CROSS