Individual
DR. BRINDA RAO KORIVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
7007 BERTNER AVE, 1MC8.2442, UNIT 1654, HOUSTON, TX 77030
(713) 792-8666
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M5895
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203057901
—
TX
01
—
8BL773
BCBS
TX
01
—
P00691152
RR MEDICARE
TX
Enumeration date
06/11/2007
Last updated
09/22/2017
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