Provider Demographics
NPI:1518165521
Name:JULAPALLI, VINAY RAO (MD)
Entity Type:Individual
Prefix:DR
First Name:VINAY
Middle Name:RAO
Last Name:JULAPALLI
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 1:2950 FM 2920 ROAD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388
Mailing Address - Country:US
Mailing Address - Phone:281-972-2079
Mailing Address - Fax:281-972-2074
Practice Address - Street 1:2950 FM 2920 ROAD
Practice Address - Street 2:SUITE 180
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388
Practice Address - Country:US
Practice Address - Phone:281-972-2079
Practice Address - Fax:281-972-2074
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL1898207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB118912Medicare PIN
TXTXB118910Medicare PIN