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Individual
VENKATA S. KUPPALA
Active
Individual
VENKATA S. KUPPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01068809A
IN
208000000X
Pediatrics Physician
35.090012
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
01068809A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
19118
ND
2080N0001X
Neonatal-Perinatal Medicine Physician
PT19118
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01068809A
IN LICENSE
IN
Enumeration date
01/10/2008
Last updated
09/24/2025
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