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NPI Code Detail

MEDICARE: DR. RAMANA KUMAR PUPPALA M.D.

MEDICARE: DR. RAMANA 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
1207VG0400XGynecology Physician036110928IL
2207VG0400XGynecology Physician70896GA
3207VG0400XGynecology Physician29509AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3510-48849OTHERALBCBS

General Provider Information

NPI Number : 1669409629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAMANA KUMAR PUPPALA M.D.
Provider Business Mailing Address
First Line : 300 N COLLEGE ST
Second Line :
City : GREENVILLE
State : AL
Zip : 36037-2025
Country : US
Telephone Number : 334-382-1015
Fax Number : 334-382-1039
Provider Business Practice Location Address
First Line : 300 N COLLEGE ST
Second Line :
City : GREENVILLE
State : AL
Zip : 36037-2025
Country : US
Telephone Number : 334-382-1015
Fax Number : 334-382-1039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 01/05/2022

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