Individual
DR. MADHAVILATHA VUPPALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
200 S RIVERSHIRE DR STE 300, CONROE, TX 77304-3485
(832) 610-2822
(936) 777-8831
Mailing address
200 S RIVERSHIRE DR STE 300, CONROE, TX 77304-3485
(832) 610-2822
(936) 777-8831
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N4825
TX
207RN0300X
Nephrology Physician
Primary
N4825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209330403
—
TX
Enumeration date
02/11/2008
Last updated
06/29/2022
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