Provider Demographics
NPI:1972549061
Name:KALAPATAPU, VISWANATH (MD)
Entity Type:Individual
Prefix:
First Name:VISWANATH
Middle Name:
Last Name:KALAPATAPU
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 1:1331 W. GRAND PARKWAY NORTH
Mailing Address - Street 2:SUITE 230
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-2711
Mailing Address - Country:US
Mailing Address - Phone:281-392-8620
Mailing Address - Fax:281-392-2258
Practice Address - Street 1:1331 W. GRAND PARKWAY NORTH
Practice Address - Street 2:SUITE 230
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-2711
Practice Address - Country:US
Practice Address - Phone:281-392-8620
Practice Address - Fax:281-392-2258
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA050697207R00000X
TXM3602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110227437OtherRR MEDICARE
TX185206301Medicaid
TX8J4083Medicare PIN
TX185206301Medicaid