Provider Demographics
NPI:1558667204
Name:BARBARA PUPLAMPU
Entity Type:Organization
Organization Name:BARBARA PUPLAMPU
Other - Org Name:FAMILY PODIATRY PC
Other - Org Type:Other Name
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PUPLAMPU
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:202-725-1159
Mailing Address - Street 1:PO BOX 901
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20725-0901
Mailing Address - Country:US
Mailing Address - Phone:202-726-5387
Mailing Address - Fax:
Practice Address - Street 1:3321 12TH ST NE STE 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-4008
Practice Address - Country:US
Practice Address - Phone:202-726-5387
Practice Address - Fax:855-285-0100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDC0579213EP1101X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC017147100Medicaid
DC5015720001Medicare NSC
DCU7210Medicare UPIN