Individual
RADHIKA KOPPANUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15200 US-59 S., 360, SUGAR LAND, TX 77478-4032
(713) 840-5170
(281) 494-2872
Mailing address
15200 US-59 SOUTH, 360, SUGAR LAND, TX 77478-4032
(713) 840-5170
(281) 494-2872
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06210
TX
Other
Enumeration date
02/19/2015
Last updated
02/24/2015
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