Provider Demographics
NPI:1861596314
Name:SUNKUREDDI, KRISHNA VR (MD)
Entity type:Individual
Prefix:
First Name:KRISHNA
Middle Name:VR
Last Name:SUNKUREDDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 ROCKMEAD DR STE 301
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3300
Mailing Address - Country:US
Mailing Address - Phone:281-358-0502
Mailing Address - Fax:281-358-0085
Practice Address - Street 1:855 ROCKMEAD DR STE 301
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3300
Practice Address - Country:US
Practice Address - Phone:281-358-0502
Practice Address - Fax:281-358-0085
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ36282084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86Z270OtherBLUE CROSS
TX123512901Medicaid
TX123512901Medicaid
TXTXB112053Medicare PIN