Individual
JAYARAMA S GUNTUPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
H5560
TX
207RN0300X
Nephrology Physician
Primary
H5560
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134297403
CSHCN
TX
05
—
134297404
—
TX
05
—
134297406
—
TX
01
—
88Y854
BCBS
TX
Enumeration date
07/09/2006
Last updated
10/08/2010
Update your record
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