Provider Demographics
NPI:1447441167
Name:DURGAMPUDI, CHANDRASEKHARA REDDY (MD)
Entity type:Individual
Prefix:DR
First Name:CHANDRASEKHARA
Middle Name:REDDY
Last Name:DURGAMPUDI
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 1:1635 NORTH LOOP W
Mailing Address - Street 2:SOUTH TOWER FL 1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1532
Mailing Address - Country:US
Mailing Address - Phone:713-867-2066
Mailing Address - Fax:
Practice Address - Street 1:1635 NORTH LOOP W
Practice Address - Street 2:SOUTH TOWER FL 1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1532
Practice Address - Country:US
Practice Address - Phone:713-867-2066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS3655207R00000X, 208M00000X
PAMD440527207R00000X
PAMT189771207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine