Provider Demographics
NPI:1679197461
Name:KOVVALI, ARTHI (DO)
Entity type:Individual
Prefix:
First Name:ARTHI
Middle Name:
Last Name:KOVVALI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 UNIVERSITY BLVD REBECCA SEALY HOSPITAL-6.608
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0177
Mailing Address - Country:US
Mailing Address - Phone:409-772-1987
Mailing Address - Fax:409-772-5462
Practice Address - Street 1:301 UNIVERSITY BLVD REBECCA SEALY HOSPITAL-6.608
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0177
Practice Address - Country:US
Practice Address - Phone:409-772-1987
Practice Address - Fax:409-772-5462
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK7977207RE0101X
TXBP10071498390200000X
TXU9577207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program