Individual
DR. NAVEEN KELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9618 HUEBNER ROAD , SUITE 120, SAN ANTONIO, TX 78240
(210) 617-3670
(888) 316-9464
Mailing address
9618 HUEBNER ROAD , SUITE 120, SAN ANTONIO, TX 78240-1660
(210) 617-3670
(888) 316-9464
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
L5784
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161561903
—
TX
01
—
TXB159055
MEDICARE PTAN
TX
Enumeration date
01/17/2006
Last updated
08/08/2018
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