Provider Demographics
NPI:1093762346
Name:VUPPALA, MURTHY S (MD)
Entity Type:Individual
Prefix:DR
First Name:MURTHY
Middle Name:S
Last Name:VUPPALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 MADISON ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4408
Mailing Address - Country:US
Mailing Address - Phone:256-883-2112
Mailing Address - Fax:256-885-0037
Practice Address - Street 1:725 MADISON ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-883-2112
Practice Address - Fax:256-885-0037
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22382207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL515-15181OtherBLUE CROSS PROVIDER
AL515-15181OtherBLUE CROSS PROVIDER