Dr. Prasanth Boyareddigari, M.D.
Emergency Medicine in Conroe, TX. Individual provider (NPI-1).
NPI number1427010768
StatusActive
Last updated in NPPESDec 7, 2007
Details
- NPI
- 1427010768
- Entity type
- Individual (NPI-1)
- Name
- Dr. Prasanth Boyareddigari
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2006
- Last updated
- Dec 7, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | M1031 | TX | Yes |
Practice location
504 Medical Center BlvdConroe, TX 77304-2808
Phone 936-539-1111
Mailing address
6873 Staffordshire StHouston, TX 77030-4107
Phone 713-795-0939
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