Individual
AJAY TRIPURANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-2316
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD24630
OR
207RC0000X
Cardiovascular Disease Physician
MD24630
OR
207RC0000X
Cardiovascular Disease Physician
MD60671202
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD24630
OR
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD60671202
WA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
T6399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227289
—
OR
01
—
838334001
BCBS-ROSEBURG
OR
01
—
838366006
BCBS-MCMINNVILLE
OR
01
—
844477013
BCBS-GRANTS PASS
OR
01
—
858463003
BCBS-MEDFORD
OR
01
—
858464003
BCBS-SPRINGFIELD
OR
01
—
P00172920
RR MEDICARE
OR
Enumeration date
03/28/2006
Last updated
05/23/2022
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