Provider Demographics
NPI:1912003112
Name:MULUPURI, RAMA PRASAD (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMA
Middle Name:PRASAD
Last Name:MULUPURI
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 1:3824 BROOKFIELD DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-3766
Mailing Address - Country:US
Mailing Address - Phone:214-227-1183
Mailing Address - Fax:214-227-1183
Practice Address - Street 1:6300 STONEWOOD DR STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5281
Practice Address - Country:US
Practice Address - Phone:972-867-1803
Practice Address - Fax:972-867-1603
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9623207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149967504Medicaid
TXP00415873OtherRAILROAD MEDICARE
TXH42922Medicare UPIN
TX8F8410Medicare PIN
TXP00415873OtherRAILROAD MEDICARE