Individual
KRUPA RAMAPRASAD MYSORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R - 8991
IA
2080P0206X
Pediatric Gastroenterology Physician
Q9688
TX
Other
Enumeration date
06/20/2010
Last updated
06/14/2023
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