Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ravi Konidala, MD

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1124013552

Ravi Konidala, MD is a Geriatric Medicine (Family Medicine) Physician in Crockett, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1050 E Loop 304 Ste 200 Etmc Rural Health Clinic
Crockett, TX 75835-1814
Phone: (936) 544-5132
Fax: (936) 544-8029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M6981 (TX)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence M6981 (TX)

Record details

NPI number1124013552
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 12, 2005
Last updated in NPPESJune 2, 2011