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Contact Information

PADMAJA PUPPALA, MD
2116 CANYON PARK DR
SOUTHLAKE, TX76092
 Phone: 817-300-9166
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PADMAJA PUPPALA · (Female)

NPI # 1558592428
Status Active
Credentials MD
Entity Individual
Enumeration date 07/27/2009
Last updated 07/21/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 253106
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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