Individual
BHARATHI PRATHAP KONDUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7901 METROPOLIS DR, AUSTIN, TX 78744-3111
(512) 837-7000
Mailing address
7901 METROPOLIS DR, AUSTIN, TX 78744-3111
(512) 837-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L4502
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156015306
—
TX
01
—
P00440381
RR MCR PTAN
TX
Enumeration date
05/20/2006
Last updated
11/10/2015
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