| Anil K Chunduri Md Pa | |
|
633 E Fernhurst Dr Ste 704 Katy TX 77450-1587 | |
| (832) 437-3854 | |
| Not Available |
| Full Name | Anil K Chunduri Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 633 E Fernhurst Dr Ste 704, Katy, Texas |
| Authorized Official Name and Position | Anil Chunduri (OWNER/PROVIDER) |
| Authorized Official Contact | 8324373856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anil K Chunduri Md Pa 633 E Fernhurst Dr Ste 704 Katy TX 77450-1587 Ph: (832) 437-3856 | Anil K Chunduri Md Pa 633 E Fernhurst Dr Ste 704 Katy TX 77450-1587 Ph: (832) 437-3854 |
| NPI Number | 1912435793 |
|---|---|
| Provider Enumeration Date | 05/24/2017 |
| Last Update Date | 02/15/2024 |
| Medicare PECOS PAC ID | 9335417153 |
|---|---|
| Medicare Enrollment ID | O20170620003214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912435793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N8285 (Texas) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | N8285 (Texas) | Primary |
| Provider Name | Anil K Chunduri |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922291764 PECOS PAC ID: 0042361107 Enrollment ID: I20120104000588 |
| Provider Name | Nissy Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508403296 PECOS PAC ID: 1153752431 Enrollment ID: I20200521000586 |
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