Individual provider · NPI-1
Vijayadershan Muppidi, M.D.
Internal Medicine · Denton, TX
NPI number1235442393
StatusActive
Last updated in NPPESNov 23, 2021
Details
- NPI
- 1235442393
- Entity type
- Individual (NPI-1)
- Name
- Vijayadershan Muppidi
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2010
- Certification date
- Nov 23, 2021
- Last updated
- Nov 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | T1480 | TX | Yes |
| 207R00000X | Internal Medicine | 60952 | WI | |
| 207R00000X | Internal Medicine | MT197390 | PA | |
| 208M00000X | Hospitalist | 01076877A | IN | |
| 208M00000X | Hospitalist | 60952 | WI |
Practice location
3000 N Interstate 35Denton, TX 76201-5119
Phone 940-898-7144
Mailing address
3000 N Interstate 35Denton, TX 76201-5119
Phone 940-898-7144
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