Individual
KISHORE PATCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10043728
TX
207R00000X
Internal Medicine Physician
Q3571
TX
207RN0300X
Nephrology Physician
Primary
10310641-1205
UT
Other
Enumeration date
07/13/2012
Last updated
11/11/2021
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