Individual
DR. NAVEENDRA KORIVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13636 BRETON RIDGE ST STE D, HOUSTON, TX 77070-6077
(832) 688-9160
(832) 688-9251
Mailing address
13636 BRETON RIDGE ST STE D, HOUSTON, TX 77070-6077
(832) 688-9160
(832) 688-9251
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L1360
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A4705
MEDICARE GROUP PTAN
—
Enumeration date
03/16/2006
Last updated
08/11/2020
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