Vuppali, Madhavilatha
Vuppali, Madhavilatha is an sole proprietor health care provider with primary practice located at 200 S Rivershire Dr Ste 300 , Conroe TX 77304-3485. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Vuppali, Madhavilatha can be contacted via phone (832) 610-2822.Contact Information
Primary practice address
200 S Rivershire Dr Ste 300
Conroe TX 77304-3485
Phone: (832) 610-2822
Fax: (936) 777-8831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N4825 | Texas |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | N4825 | Texas |
Profile Details
| NPI number | 1922276112 |
|---|---|
| LBN Legal business name | Vuppali, Madhavilatha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2008 |
| Last updated | Jun 29th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922276112 | NPPES |
| Texas | MEDICAID | 209330403 |
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