Provider Demographics
NPI:1124238886
Name:JULAPALLI, NEEHARIKA (DPM)
Entity type:Individual
Prefix:DR
First Name:NEEHARIKA
Middle Name:
Last Name:JULAPALLI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:NEEHARIKA
Other - Middle Name:
Other - Last Name:DHULIPALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPM
Mailing Address - Street 1:800 PEAKWOOD DR
Mailing Address - Street 2:STE 4E
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2900
Mailing Address - Country:US
Mailing Address - Phone:318-792-8033
Mailing Address - Fax:
Practice Address - Street 1:800 PEAKWOOD DR
Practice Address - Street 2:STE 4E
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2900
Practice Address - Country:US
Practice Address - Phone:318-792-8033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1982213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1032271Medicaid
LA5DE29Medicare PIN