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NPI Code Detail

MEDICARE: DR. DILEEP KUMAR PUPPALA M.D.

MEDICARE:  DR. DILEEP KUMAR PUPPALA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianL4661TX
2174400000XSpecialistL4661TX
3207RS0012XSleep Medicine (Internal Medicine) PhysicianL4661TX
4207RP1001XPulmonary Disease PhysicianL4661TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
187965HOTHERTXMEDICARE ID
2291582OTHERMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215989900
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DILEEP KUMAR PUPPALA M.D.
Provider Business Mailing Address
First Line : 13219 DOTSON RD STE 210
Second Line :
City : HOUSTON
State : TX
Zip : 77070-4308
Country : US
Telephone Number : 281-955-0338
Fax Number : 281-469-0741
Provider Business Practice Location Address
First Line : 13219 DOTSON RD STE 210
Second Line :
City : HOUSTON
State : TX
Zip : 77070-4308
Country : US
Telephone Number : 281-955-0338
Fax Number : 281-469-0741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 06/24/2024

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Directions to “ DR. DILEEP KUMAR PUPPALA M.D.” Practice Location

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