Individual
DR. JAGADISH PUPPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
K8819
TX
207UN0901X
Nuclear Cardiology Physician
K8819
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00FM06
MEDICARE GROUP NUMBER
TX
01
—
00J30H
MEDICARE GROUP NUMBER
TX
Enumeration date
08/12/2005
Last updated
01/28/2008
Update your record
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