Provider Demographics
NPI:1912122037
Name:DONEPUDI, SREEKRISHNA KANTH (MD)
Entity Type:Individual
Prefix:DR
First Name:SREEKRISHNA
Middle Name:KANTH
Last Name:DONEPUDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KRISHNA
Other - Middle Name:KANTH
Other - Last Name:DONEPUDI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:23054 WESTHEIMER PKWY
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3596
Mailing Address - Country:US
Mailing Address - Phone:281-712-7241
Mailing Address - Fax:404-698-2510
Practice Address - Street 1:23054 WESTHEIMER PKWY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3596
Practice Address - Country:US
Practice Address - Phone:281-712-7241
Practice Address - Fax:404-698-2510
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1134207Y00000X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03269789Medicaid
NYG400033304Medicare PIN