MEDICARE: DR. SOWMYA PUTHALAPATTU 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
1	207R00000X	Internal Medicine Physician	N1841	TX
2	207RN0300X	Nephrology Physician	N1841	TX

General Provider Information

NPI Number	:	1316188519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOWMYA PUTHALAPATTU M.D

Provider Business Mailing Address
First Line	:	201 KINGWOOD MEDICAL DR
Second Line	:	STE B200
City	:	KINGWOOD
State	:	TX
Zip	:	77339-6016
Country	:	US
Telephone Number	:	281-401-9540
Fax Number	:

Provider Business Practice Location Address
First Line	:	19502 MCKAY BLVD
Second Line	:	SUITE- 200
City	:	HUMBLE
State	:	TX
Zip	:	77338-5707
Country	:	US
Telephone Number	:	281-540-8779
Fax Number	:	281-540-8798

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2009
Last Update Date	:	10/17/2017

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Directions to “ DR. SOWMYA PUTHALAPATTU M.D” Practice Location

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