Individual
MOHAN RUDRAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
(254) 724-7603
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Q1729
TX
207RP1001X
Pulmonary Disease Physician
Primary
Q1729
TX
Other
Enumeration date
07/10/2009
Last updated
10/16/2023
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