Sri Divya Muppala M.D.

NPI 1457557290 - Internal Medicine - 207R00000X

NPI Details
NPI 1457557290
Gender Female
Enumeration Date 06/26/2007
Last Updated 09/13/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
2091 N BEND RD
HEBRON
HEBRON KY, 41048-9691, US
Phone (859) 586-2200
Fax (859) 586-4222
Business Location
2300 CHAMBER CENTER DR
SUITE 200
LAKESIDE PARK KY, 41017-1673, US
Phone (859) 344-5555
Fax (859) 344-5552
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number 2007013992
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According to our database, Sri Divya Muppala M.D. NPI is 1457557290, taxonomy code is 207R00000X and license number is 2007013992, license state is located at Missouri. Sri Divya Muppala M.D. physically located at 2091 N Bend Rd, Hebron KY, 41048-9691. NPI Number Sri Divya Muppala M.D. has the Individual type.

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1457557290 NPI number is provided on an as is basis without warranty of any kind. 1457557290 is maintained by the National Plan & Provider Enumeration System. The contents of Sri Divya Muppala M.D. are for informational purposes only.