Provider Demographics
NPI:1225208028
Name:MIRPURI-HATHIRAMANI, JULIE (MBBS)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MIRPURI-HATHIRAMANI
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:MIRPURI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MBBS
Mailing Address - Street 1:5323 HARRY HINES BLVD # MC9063
Mailing Address - Street 2:SUITE F3.302E
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-7208
Mailing Address - Country:US
Mailing Address - Phone:404-727-3360
Mailing Address - Fax:
Practice Address - Street 1:5323 HARRY HINES BLVD # MC9063
Practice Address - Street 2:SUITE F3.302E
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-7208
Practice Address - Country:US
Practice Address - Phone:404-727-3360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN74642080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine