Provider Demographics
NPI:1851549059
Name:CIVUNIGUNTA, NARENDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:NARENDRA
Middle Name:
Last Name:CIVUNIGUNTA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 MAIN ST # 11B.171
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2348
Mailing Address - Country:US
Mailing Address - Phone:713-798-2222
Mailing Address - Fax:713-798-0111
Practice Address - Street 1:6620 MAIN ST # 11B.171
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2348
Practice Address - Country:US
Practice Address - Phone:713-798-2222
Practice Address - Fax:713-798-0111
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1118207R00000X, 208M00000X, 208M00000X
TN45265207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist