Individual
RUPA PUTTAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8233 N SAM HOUSTON PKWY E, HUMBLE, TX 77396-2922
(713) 442-2000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M5450
TX
207RC0000X
Cardiovascular Disease Physician
Primary
M5450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194498503
—
TX
05
—
194498504
—
TX
Enumeration date
10/24/2006
Last updated
06/15/2021
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