Individual
SHANTI K NEERUKONDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 GOLDER AVE STE 202-A, ODESSA, TX 79761-4411
(432) 333-6200
(432) 333-6213
Mailing address
501 GOLDER AVE STE 202-A, ODESSA, TX 79761-4411
(432) 333-6200
(432) 333-6213
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
K0148
TX
Other
Enumeration date
07/01/2006
Last updated
06/20/2018
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