Puppala, Jagadish

Puppala, Jagadish is an individual health care provider with primary practice located at 1643 Lancaster Dr Suite 203, Grapevine TX 76051-3593. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Puppala, Jagadish can be contacted via phone (817) 329-7670.

Contact Information

Primary practice address
1643 Lancaster Dr Suite 203 Grapevine TX 76051-3593
Phone: (817) 329-7670
Fax: (817) 416-0145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X K8819 Texas
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X K8819 Texas

Profile Details

NPI number 1841292489
LBN Legal business name Puppala, Jagadish
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jan 28th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841292489 NPPES
Texas Other 00FM06 MEDICARE GROUP NUMBER
Texas Other 00J30H MEDICARE GROUP NUMBER

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