Individual
KRISHNA SAI KOMMINENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1110 BROAD AVE, SUITE 500, GULFPORT, MS 39501
(228) 575-2588
(228) 864-4154
Mailing address
PO BOX 1810, GULFPORT, MS 39502
(228) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
29777
MS
Other
Enumeration date
07/17/2017
Last updated
04/10/2023
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