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Individual
MR. JOSEPH AUGUSTINE VALLOPPILLIL
Active
Individual
MR. JOSEPH AUGUSTINE VALLOPPILLIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E5972
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080815601
—
TX
01
—
2227229
BLUE CROSS BLUE SHIELD
TX
01
—
614360
MEDICARE PTAN
TX
01
—
848195
AETNA
TX
01
—
8704643
CIGNA
TX
Enumeration date
09/14/2006
Last updated
06/07/2010
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