Individual
DR. ANJANEYA PUPPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
399 W CAMPBELL RD, MEDICAL PLAZA BLDG II SUITE 304, RICHARDSON, TX 75080-3595
(972) 238-9696
(972) 238-9753
Mailing address
7610 STEMMONS FWY, SUITE 500, DALLAS, TX 75247-4231
(214) 689-5960
(214) 630-7293
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
E9923
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122772003
—
TX
01
—
85Y157
BCBSTX
TX
Enumeration date
03/24/2006
Last updated
05/27/2010
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