Individual
PRIYA KOTHAPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(409) 504-3145
Mailing address
PO BOX 1666, NEDERLAND, TX 77627-1666
(409) 504-3145
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
R9996
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2015
Last updated
08/16/2023
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