Provider Demographics
NPI:1427404680
Name:MANDALAPU, TAPASYA (MD)
Entity type:Individual
Prefix:
First Name:TAPASYA
Middle Name:
Last Name:MANDALAPU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:18980 N MEMORIAL DR STE 330
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-4576
Practice Address - Country:US
Practice Address - Phone:281-318-2515
Practice Address - Fax:281-318-2516
Is Sole Proprietor?:No
Enumeration Date:2016-05-06
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXS2405207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine