Provider Demographics
NPI:1942680913
Name:DAVLAPUR, ABHILASH REDDY (MD)
Entity Type:Individual
Prefix:DR
First Name:ABHILASH
Middle Name:REDDY
Last Name:DAVLAPUR
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 1:17520 W GRAND PKWY S STE 110
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4759
Mailing Address - Country:US
Mailing Address - Phone:281-725-5868
Mailing Address - Fax:
Practice Address - Street 1:17520 W GRAND PKWY S STE 110
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4759
Practice Address - Country:US
Practice Address - Phone:281-725-5868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-04
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK31368207P00000X, 207Q00000X
TXS2011207QS0010X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine