Organization
JAY R PUDUPAKKAM MD PA
Active
Organization
JAY R PUDUPAKKAM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY R PUDUPAKKAM MD (MD OWNER)
(469) 374-3850
Entity
Organization
Contact information
Practice address
12221 MERIT DR, SUITE 460, DALLAS, TX 75251-2202
(469) 374-3850
(469) 374-3851
Mailing address
12221 MERIT DR, SUITE 460, DALLAS, TX 75251-2202
(469) 374-3850
(469) 374-3851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177994401
—
TX
01
—
DE8671
MEDICARE RAILROAD
TX
Enumeration date
02/26/2007
Last updated
06/13/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up