Individual
PRADEEP EDUPUGANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5312 RIO BRAVO DR STE 10, SANTA TERESA, NM 88008-9210
(575) 915-1338
Mailing address
6420 ESCONDIDO DR, EL PASO, TX 79912-2977
(915) 300-1330
(915) 833-4581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1196020
TX
225100000X
Physical Therapist
Primary
PT5025
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1196020
PHYSICAL THERAPY LICENSE
TX
05
—
61720232
—
NM
Enumeration date
06/14/2010
Last updated
10/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us