Devulapally, Pavan

Devulapally, Pavan is an sole proprietor health care provider with primary practice located at 4511 Nw Loop 410 Suite 104, San Antonio TX 78229-5124. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Devulapally, Pavan can be contacted via phone (210) 614-7900.

Contact Information

Primary practice address
4511 Nw Loop 410 Suite 104 San Antonio TX 78229-5124
Phone: (210) 614-7900
Fax: (210) 615-1211
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X P9550 Texas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X P9550 Texas

Profile Details

NPI number 1306085477
LBN Legal business name Devulapally, Pavan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2009
Last updated Jul 29th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306085477 NPPES
Texas MEDICAID 337482901

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