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Ravi Konidala, MD
Family Medicine Physician in Crockett, Texas
NPI 1124013552

Ravi Konidala is a Family Medicine Physician based in Crockett, TX. Ravi Konidala practices in Crockett, TX and has the professional credentials of MD. The NPI Number for Ravi Konidala is 1124013552 and holds a License No. M6981 (Texas).

The current practice location address for Ravi Konidala is 1050 E Loop 304, Crockett, TX and can be reached out via phone at 936-544-5132 and via fax at 936-544-8029.

Location: 1050 E Loop 304, Crockett, TX, 75835-2290
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124013552
Provider Name
Ravi Konidala
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1050 E Loop 304, Crockett, TX, 75835-2290
Phone Number
936-544-5132
Fax Number
936-544-8029
Provider Enumeration Date
09/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1010424560001 05 PA
institution
Provider Business Practice Location Address Details
Address
1050 E Loop 304
City
Crockett
State
Texas
Zip
75835-1814
Phone Number
936-544-5132
Fax Number
936-544-8029
person
Provider Business Mailing Address Details
Address
1050 E Loop 304
City
Crockett
State
Texas
Zip
75835-1814
Phone Number
936-544-5132
Fax Number
936-544-8029
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
M6981 (Texas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
207QG0300X
License No.
M6981 (Texas)
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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