Provider Demographics
NPI:1194767541
Name:CHOWDARY, KONDAPAVULURU V (MD)
Entity type:Individual
Prefix:DR
First Name:KONDAPAVULURU
Middle Name:V
Last Name:CHOWDARY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 LINDBERG AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2902
Mailing Address - Country:US
Mailing Address - Phone:956-630-2979
Mailing Address - Fax:956-630-1375
Practice Address - Street 1:205 E TORONTO AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1209
Practice Address - Country:US
Practice Address - Phone:956-296-3990
Practice Address - Fax:956-665-6837
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-11
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4548207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122993203Medicaid
TX86V500Medicare ID - Type UnspecifiedMEDICARE