Kiran Kumar Gottipati
Pharmacist in Dallas, TX. Individual provider (NPI-1).
NPI number1982207585
StatusActive
Last updated in NPPESNov 17, 2020
Details
- NPI
- 1982207585
- Entity type
- Individual (NPI-1)
- Name
- Kiran Kumar Gottipati
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2020
- Certification date
- Nov 17, 2020
- Last updated
- Nov 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 44845 | TX | Yes |
Practice location
2130 E Ledbetter DrDallas, TX 75216-7435
Phone 214-374-3559
Mailing address
10562 Duckling DrCoppell, TX 75019-5896
Phone 214-620-7222
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