NPI 1629495973 · live from the CMS NPI Registry
Praneeth Kudaravalli, MD
Internal Medicine, Gastroenterology in Reno, NV. National Provider Identifier 1629495973, active.
NPI record
| NPI | 1629495973 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 655 Sierra Rose Dr, Reno, NV 89511 |
| Practice phone | 775-829-7600 |
| Enumerated | March 25, 2014 |
| Last updated | August 24, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | DR.0073095 (CO) |
| Internal Medicine | 207R00000X | 88415 (GA) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 26787 (NV) |
| Hospitalist | 208M00000X | 51420 (KY) |
| Internal Medicine | 207R00000X | 51420 (KY) |
| Hospitalist | 208M00000X | 88415 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.