Iianko Upendran MD

NPI 1124051073 - Internal Medicine - 207R00000X

NPI Details
NPI 1124051073
Gender Male
Enumeration Date 07/07/2006
Last Updated 10/23/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
GILMER TX, 75644-1738, US
Phone (903) 841-7300
Fax (903) 841-7373
Business Location
PO BOX 9477
TYLER TX, 75711-9477, US
Phone (903) 594-2450
Fax (903) 509-0493
Taxonomy Code 207R00000X
License State Texas
License Number L8543
Remove 1124051073 NPI Number

According to our database, Iianko Upendran MD NPI is 1124051073, taxonomy code is 207R00000X and license number is L8543, license state is located at Texas. Iianko Upendran MD physically located at 711 Titus St, Gilmer TX, 75644-1738. NPI Number Iianko Upendran MD has the Individual type.

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1124051073 NPI number is provided on an as is basis without warranty of any kind. 1124051073 is maintained by the National Plan & Provider Enumeration System. The contents of Iianko Upendran MD are for informational purposes only.