Provider Demographics
NPI:1033740634
Name:PARAPPURAM, MINU
Entity Type:Individual
Prefix:
First Name:MINU
Middle Name:
Last Name:PARAPPURAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15402 LAKEPORT CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4921
Mailing Address - Country:US
Mailing Address - Phone:832-443-1525
Mailing Address - Fax:
Practice Address - Street 1:15402 LAKEPORT CROSSING DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4921
Practice Address - Country:US
Practice Address - Phone:832-443-1525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-01
Last Update Date:2020-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF01201549207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine