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Individual

RUPA PUTTAPPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

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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