Healthcare Provider Details

I. General information

NPI: 1558667204
Provider Name (Legal Business Name): BARBARA PUPLAMPU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2011
Last Update Date: 12/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3321 12TH ST NE STE 2
WASHINGTON DC
20017-4008
US

IV. Provider business mailing address

PO BOX 901
LAUREL MD
20725-0901
US

V. Phone/Fax

Practice location:
  • Phone: 202-726-5387
  • Fax: 855-285-0100
Mailing address:
  • Phone: 202-726-5387
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberDC0579
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberDC0579
License Number StateDC

VIII. Authorized Official

Name: DR. BARBARA PUPLAMPU
Title or Position: DR
Credential: DPM
Phone: 202-725-1159