Provider Demographics
NPI:1841971280
Name:TELFAIR PULMONARY PLLC
Entity type:Organization
Organization Name:TELFAIR PULMONARY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GOUTHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:DRONAVALLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-723-9120
Mailing Address - Street 1:5410 KING PLAINS CREEK LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-7046
Mailing Address - Country:US
Mailing Address - Phone:281-723-9120
Mailing Address - Fax:
Practice Address - Street 1:5410 KING PLAINS CREEK LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7046
Practice Address - Country:US
Practice Address - Phone:281-723-9120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty