Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | L0670 | TX |
NPI | 1003816745 |
---|---|
Provider Name | Dr. Padmavathy Uppalapati |
First Address | Irving, TX 75038-6117 |
Second Address | Irving, TX 75038-6117 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 11/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
047595603 | (05) | TX |
047595604 | (05) | TX |
047595605 | (05) | TX |
H23399 | (02) |