| Laxman Kalvakuntla Md Pllc | |
|
830 S Mason Rd Ste A4 Katy TX 77450-3863 | |
| (281) 392-8010 | |
| (281) 392-4861 |
| Full Name | Laxman Kalvakuntla Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 830 S Mason Rd Ste A4, Katy, Texas |
| Authorized Official Name and Position | Laxman Kalvakuntla (OWNER) |
| Authorized Official Contact | 2813928010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laxman Kalvakuntla Md Pllc 830 S Mason Rd Ste A4 Katy TX 77450-3863 Ph: (281) 392-8010 | Laxman Kalvakuntla Md Pllc 830 S Mason Rd Ste A4 Katy TX 77450-3863 Ph: (281) 392-8010 |
| NPI Number | 1316454499 |
|---|---|
| Provider Enumeration Date | 01/10/2018 |
| Last Update Date | 01/10/2018 |
| Medicare PECOS PAC ID | 8820357791 |
|---|---|
| Medicare Enrollment ID | O20180123000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316454499 | NPI | - | NPPES |
| 1013913623 | Other | SOLO NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | J2627 (Texas) | Primary |
| Provider Name | Laxman R Kalvakuntla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013913623 PECOS PAC ID: 2466464201 Enrollment ID: I20060619000288 |
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