Organization Active NPI

Devaraj Munikrishnappa PLLC

  • Nephrology Physician
  • Houston, TX
National Provider Identifier
1902150683
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N2204 Issued in TX
Legal business name
DEVARAJ MUNIKRISHNAPPA PLLC
Practice address
11455 Fallbrook Dr
Suite 102
Houston, TX 77065-4238
Phone
(713) 598-3040
NPI assigned
Nov 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Devaraj Munikrishnappa, MD
Title
President
Phone
(713) 598-3040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X N2204 TX Primary

Addresses

Primary practice location

11455 Fallbrook Dr
Suite 102
Houston, TX 77065-4238

Mailing address

27619 Guthrie Ridge LN
Katy, TX 77494-3329
Phone (713) 598-3040

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1902150683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27619 GUTHRIE RIDGE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943329",
            "telephone_number": "713-598-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11455 FALLBROOK DR",
            "address_2": "SUITE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654238",
            "telephone_number": "713-598-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVARAJ MUNIKRISHNAPPA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "MUNIKRISHNAPPA",
        "authorized_official_first_name": "DEVARAJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-598-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N2204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.