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Dr. Jagadish Puppala, MD
Nuclear Cardiology Physician in Grapevine, Texas
NPI 1841292489

Jagadish Puppala is a Nuclear Cardiology Physician based in Irving, TX and is specialized in Nuclear Cardiology. Jagadish Puppala practices in Grapevine, TX and has the professional credentials of MD. The NPI Number for Jagadish Puppala is 1841292489 and holds a License No. K8819 (Texas).

The current practice location address for Jagadish Puppala is 1643 Lancaster Dr, Grapevine, TX and can be reached out via phone at 817-329-7670 and via fax at 817-416-0145.

Location: 1643 Lancaster Dr, Grapevine, TX, 75038-2416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841292489
Provider Name
Jagadish Puppala
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1643 Lancaster Dr, Grapevine, TX, 75038-2416
Phone Number
817-329-7670
Fax Number
817-416-0145
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00FM06 01 TX MEDICARE GROUP NUMBER
00J30H 01 TX MEDICARE GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
1643 Lancaster Dr
City
Grapevine
State
Texas
Zip
76051-3593
Phone Number
817-329-7670
Fax Number
817-416-0145
person
Provider Business Mailing Address Details
Address
1643 Lancaster Dr
City
Grapevine
State
Texas
Zip
76051-3593
Phone Number
817-329-7670
Fax Number
817-416-0145
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
K8819 (Texas)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
207UN0901X
License No.
K8819 (Texas)
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
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