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NPI Code Detail

MEDICARE: INDUMATHI KIRUPALAN DMD

MEDICARE: INDUMATHI KIRUPALAN DMD
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
11223G0001XGeneral Practice Dentistry39906TX

General Provider Information

NPI Number : 1730862772
Entity Type Code : Individual
Provider Name (Legal Business Name) : INDUMATHI KIRUPALAN DMD
Provider Business Mailing Address
First Line : 7112 ED BLUESTEIN BLVD STE 130
Second Line :
City : AUSTIN
State : TX
Zip : 78723-2924
Country : US
Telephone Number : 512-926-7001
Fax Number :
Provider Business Practice Location Address
First Line : 7112 ED BLUESTEIN BLVD STE 130
Second Line :
City : AUSTIN
State : TX
Zip : 78723-2924
Country : US
Telephone Number : 512-926-7001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2023
Last Update Date : 08/08/2023

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Directions to “ INDUMATHI KIRUPALAN DMD” Practice Location

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