Provider Demographics
NPI:1427074335
Name:GUNARATNE HOFFMAN, KRISHALI D (DO)
Entity type:Individual
Prefix:
First Name:KRISHALI
Middle Name:D
Last Name:GUNARATNE HOFFMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10970 SHADOW CREEK PKWY
Mailing Address - Street 2:SUITE 330
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-0100
Mailing Address - Country:US
Mailing Address - Phone:713-436-3697
Mailing Address - Fax:
Practice Address - Street 1:10970 SHADOW CREEK PKWY
Practice Address - Street 2:STE 350
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584
Practice Address - Country:US
Practice Address - Phone:281-997-1510
Practice Address - Fax:281-997-6532
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8213207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00607188Medicare PIN
TX8G6632Medicare PIN
TX189603701Medicaid