Provider Demographics
NPI:1295156073
Name:HEMA L KORLAKUNTA, MD, PA
Entity type:Organization
Organization Name:HEMA L KORLAKUNTA, MD, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HEMA
Authorized Official - Middle Name:LATHA
Authorized Official - Last Name:KORLAKUNTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-312-6262
Mailing Address - Street 1:PO BOX 649
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-0649
Mailing Address - Country:US
Mailing Address - Phone:940-312-6262
Mailing Address - Fax:940-312-6261
Practice Address - Street 1:2245 BRINKER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76208-6175
Practice Address - Country:US
Practice Address - Phone:940-312-6262
Practice Address - Fax:940-312-6261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-23
Last Update Date:2022-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty