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Rama Prasad Mulupuri

Internal Medicine

Allopathic & Osteopathic Physicians

6300 Stonewood Dr Ste 200, Plano, TX 75024-5281

PECOS Enrollment

This provider is enrolled in PECOS as RAMA MULUPURI.

Based on the most recent information from CMS, provider Rama Prasad Mulupuri is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 4:18 PM.

Profile Details

Provider ID
1912003112
Provider Type
Individual
Full Name
Mulupuri, Rama Prasad
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/15/2006
Last Updated
3/12/2020

Contact Information

Practice Location

6300 Stonewood Dr Ste 200, Plano, TX 75024-5281

(972) 867-1803

(972) 867-1603

Mailing Location

3824 Brookfield Dr, Plano, TX 75025-3766

(214) 227-1183

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License K9623 Texas

Provider Identifiers

ID	Description	Issuer
ID 149967504	Description Medicaid	Issuer Unlisted Texas
ID P00415873	Description Other	Issuer RAILROAD MEDICARE Texas

Rama Prasad Mulupuri

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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