Individual
INDIRA MADHAVI KOMMURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6410 FANNIN ST STE 732, HOUSTON, TX 77030
(215) 317-3945
Mailing address
6410 FANNIN ST STE 732, HOUSTON, TX 77030-5202
(215) 317-3945
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
S0485
TX
Other
Enumeration date
08/28/2011
Last updated
04/08/2019
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