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Individual

DR. KRISHNA POKALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 W 38TH ST, SUITE 308, AUSTIN, TX 78731-6400
(512) 324-3540
Mailing address
1600 W 38TH ST, SUITE 308, AUSTIN, TX 78731-6400

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
Q9479
TX
2084N0600X
Clinical Neurophysiology Physician
Q9479
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
365781901
TX
05
365781902
TX
Enumeration date
05/26/2011
Last updated
03/15/2017
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