MEDICARE: VENKATA DUDDUPUDI

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	344600000X	Taxi	39421605	TX

General Provider Information

NPI Number	:	1497606636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VENKATA DUDDUPUDI

Provider Business Mailing Address
First Line	:	1009 CHERRY CREEK RD
Second Line	:
City	:	DAYTON
State	:	TX
Zip	:	77535-1576
Country	:	US
Telephone Number	:	281-844-2114
Fax Number	:

Provider Business Practice Location Address
First Line	:	1009 CHERRY CREEK RD
Second Line	:
City	:	DAYTON
State	:	TX
Zip	:	77535-1576
Country	:	US
Telephone Number	:	281-844-2114
Fax Number	:

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

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “ VENKATA DUDDUPUDI ” Practice Location

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