Provider Demographics
NPI:1275949265
Name:ADDEPALLY, NAGA SARANYA (MD)
Entity Type:Individual
Prefix:
First Name:NAGA
Middle Name:SARANYA
Last Name:ADDEPALLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 GRAHAM DR STE 100
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3348
Mailing Address - Country:US
Mailing Address - Phone:281-351-6464
Mailing Address - Fax:281-351-6476
Practice Address - Street 1:506 GRAHAM DR STE 100
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3348
Practice Address - Country:US
Practice Address - Phone:281-351-6464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-10
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXU4728207RG0100X
ARE-12778207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR242892001Medicaid