Individual
JAYARAMA S GUNTUPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 873-2000
Mailing address
2 GREENWAY PLZ, SUITE 900, HOUSTON, TX 77046-0297
(713) 798-1835
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
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