Search › Texas › 207Q00000X
Ismail Penukonda, MD
NPI 1710144993 · on the registry since 2008
Practice
- Address
- 3213 Brighton Cv
Grapevine, TX 76051 - Phone
- (737) 786-5700
- Fax
- (817) 818-1805
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas