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Individual

DR. BHUPALA RAJU KALLEPALLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
715 HOUSTON ST, PLAINVIEW, TX 79072-7905
(806) 291-4470
(806) 293-7170
Mailing address
2700 YONKERS ST, PLAINVIEW, TX 79072-1826
(806) 293-2636
(806) 291-4488

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
K1492
TX
2084P0804X
Child & Adolescent Psychiatry Physician
K1492
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
116360100
FIRSTCARE
TX
05
125351004
TX
01
84620Y
BCBS
TX
Enumeration date
06/03/2006
Last updated
11/14/2021
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