Individual
DR. KESTURKOPPAL MURALIDHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E DOVE AVE, SUITE H1, MCALLEN, TX 78504-2262
(956) 225-2401
(888) 794-8753
Mailing address
800 E DOVE AVE, SUITE H1, MCALLEN, TX 78504-2262
(956) 225-2401
(888) 794-8753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
P0857
TX
208000000X
Pediatrics Physician
Primary
P0857
TX
2080A0000X
Pediatric Adolescent Medicine Physician
P0857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
215664802
—
TX
05
—
296117901
—
TX
05
—
296117902
—
TX
Enumeration date
11/16/2005
Last updated
04/29/2016
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