Individual
KRANTHI NANDAN SEELABOYINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316 SECOR ST, MIDLAND, TX 79701-6343
(432) 620-1111
(432) 620-1112
Mailing address
701 W 5TH ST STE 3142, ODESSA, TX 79763-4206
(432) 703-5310
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
300619
NY
208000000X
Pediatrics Physician
MD2022-0323
NM
208000000X
Pediatrics Physician
Primary
S9407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422419801
—
TX
Enumeration date
01/04/2016
Last updated
08/21/2023
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