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Organization
SREEVANI KUNCHAM, MD, PA
Active
Organization
SREEVANI KUNCHAM, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SREEVANI KUNCHAM MD (MD, PA)
(972) 436-7424
Entity
Organization
Contact information
Practice address
273 W CHURCH ST., SUITE 100, LEWISVILLE, TX 75057
(972) 436-7424
(972) 219-0343
Mailing address
273 W CHURCH ST., SUITE 100, LEWISVILLE, TX 75057
(972) 436-7424
(972) 219-0343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L5423
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528030210
PERSONAL NPI
TX
Enumeration date
06/11/2017
Last updated
08/19/2022
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