Individual
DR. KAVITHA PINNAMANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1202 W FRANK AVE, LUFKIN, TX 75904-3304
(936) 637-6415
(936) 632-9025
Mailing address
1202 W FRANK AVE, LUFKIN, TX 75904-3304
(936) 637-6415
(936) 632-9025
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
F8616
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038230301
—
TX
Enumeration date
07/23/2006
Last updated
02/20/2013
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