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Saivachan Ponnapalli, DO

Student in an Organized Health Care Education/Training Program in Conroe, TX. Individual provider (NPI-1).

NPI number1942157698
StatusActive
Last updated in NPPESMar 12, 2026

Details

NPI
1942157698
Entity type
Individual (NPI-1)
Name
Saivachan Ponnapalli
Credential
DO
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 12, 2026
Certification date
Mar 12, 2026
Last updated
Mar 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

925 City Central Ave
Conroe, TX 77304-2981

Phone 936-202-5202

Mailing address

925 City Central Ave
Conroe, TX 77304-2981

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