MEDICARE: DR. SANDEEP PINNAPUREDDY D.O.

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	207Q00000X	Family Medicine Physician	R7300	TX

General Provider Information

NPI Number	:	1376922252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDEEP PINNAPUREDDY D.O.

Provider Business Mailing Address
First Line	:	9000 FOREST XING
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77381-1122
Country	:	US
Telephone Number	:	281-681-0616
Fax Number	:	281-419-0445

Provider Business Practice Location Address
First Line	:	9000 FOREST XING
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77381-1122
Country	:	US
Telephone Number	:	281-681-0616
Fax Number	:	281-419-0445

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

Provider Enumeration Date	:	05/25/2015
Last Update Date	:	07/17/2023

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