# SRINIVAS R PANJA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407151467
- **Authorized official:** DR. SRINIVAS R PANJA MD (OWNER)
- **Authorized official phone:** (715) 330-9331

## Contact information

- **Practice address:** 19701 KINGWOOD DR, BUILDING 4, SUITE A, KINGWOOD, TX 77339
- **Practice address phone:** (713) 936-2966
- **Mailing address:** PO BOX 131913, SPRING, TX 77393-1913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | N7647 | TX | Yes |

## Other

- **Enumeration date:** 01/21/2011
- **Last updated:** 07/25/2018