MEDICARE: UTTAM TRIPATHY MD PA

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

General Provider Information

NPI Number	:	1801024542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UTTAM TRIPATHY MD PA

Provider Business Mailing Address
First Line	:	P.O. BOX 16458
Second Line	:	3130 GRANTS LAKE BLVD.
City	:	SUGARLAND
State	:	TX
Zip	:	77496-6458
Country	:	US
Telephone Number	:	281-954-0100
Fax Number	:

Provider Business Practice Location Address
First Line	:	7102 TARRINGTON AVE STE 1102
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7283
Country	:	US
Telephone Number	:	281-232-1908
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	UTTAM TRIPATHY
Credential	:	MD
Telephone Number	:	281-232-1908

Provider Enumeration Date	:	07/01/2009
Last Update Date	:	03/04/2026

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