Provider Demographics
NPI:1255482956
Name:GULLAPALLI, UMA RANI (MD)
Entity Type:Individual
Prefix:DR
First Name:UMA
Middle Name:RANI
Last Name:GULLAPALLI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:605 E SAN ANTONIO ST
Mailing Address - Street 2:STE 410E
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-6040
Mailing Address - Country:US
Mailing Address - Phone:361-573-3818
Mailing Address - Fax:361-573-1577
Practice Address - Street 1:605 E SAN ANTONIO ST
Practice Address - Street 2:SUITE 410E
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-6040
Practice Address - Country:US
Practice Address - Phone:361-573-3818
Practice Address - Fax:361-573-1577
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2010-02-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ1256225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF22751Medicare UPIN