Individual
SAMANTHA MUPPALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4505 NW FIELDING RD, TOPEKA, KS 66618-2651
(785) 270-0047
(785) 270-0032
Mailing address
2902 SW ASBURY DR, TOPEKA, KS 66614-4466
(785) 270-0197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-34160
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002365
MEDICARE PTAN
KS
05
—
200716870G
—
KS
Enumeration date
07/12/2007
Last updated
03/17/2026
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