Individual
DR. PRASAD VALLURUPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4521 MEDICAL CENTER DR, SUITE 500, MCKINNEY, TX 75069-1651
(972) 562-8383
(972) 548-8388
Mailing address
7610 N STEMMONS FWY, SUITE 500, DALLAS, TX 75247-4231
(214) 689-5960
(469) 713-8084
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G6420
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131641605
—
TX
01
—
84Y124
BCBSTX
TX
Enumeration date
03/22/2006
Last updated
11/09/2016
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