Individual
DR. KUPPUSAMY RAGUPATHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1602 ROCK PRAIRIE ROAD, SUITE 200, COLLEGE STATION, TX 77845
(979) 693-6641
(979) 693-7493
Mailing address
1602 ROCK PRAIRIE ROAD, SUITE 200, COLLEGE STATION, TX 77845
(979) 693-6641
(979) 693-7493
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H2165
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032780101
—
TX
Enumeration date
10/11/2006
Last updated
05/01/2013
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