Provider Demographics
NPI:1548458185
Name:CHINAPUVVULA, NAGA RAMESH (MD)
Entity type:Individual
Prefix:
First Name:NAGA RAMESH
Middle Name:
Last Name:CHINAPUVVULA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6431 FANNIN ST
Mailing Address - Street 2:MSB 2.100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-566-4663
Mailing Address - Fax:713-566-4641
Practice Address - Street 1:6431 FANNIN ST
Practice Address - Street 2:MSB 2.100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:713-566-4663
Practice Address - Fax:713-566-4641
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS46102085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX200233902OtherCSHCN
TX8BN408OtherBCBSTX
TX200233901Medicaid
TX200233901Medicaid