Individual ProviderNaveendra KoriviPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address13636 Breton Ridge St Ste D, Houston, TX 77070-6077(832) 688-9160PECOS EnrollmentBased on the most recent information from CMS, provider Naveendra Korivi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1609845106Provider TypeIndividualFull NameKorivi, NaveendraTitleDr.CredentialD.O.GenderMaleSole ProprietorYesEnumeration Date3/16/2006Last Updated8/11/2020Contact InformationPractice LocationPractice Address13636 Breton Ridge St Ste D, Houston, TX 77070-6077Phone(832) 688-9160Fax(832) 688-9251Mailing LocationMailing Address13636 Breton Ridge St Ste D, Houston, TX 77070-6077Phone(832) 688-9160Fax(832) 688-9251Provider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicenseL1360TexasProvider IdentifiersIDDescriptionIssuerID0A4705DescriptionOtherIssuerMEDICARE GROUP PTAN