Provider Demographics
NPI:1427494087
Name:SOWMYA PUTHALAPATTU PA
Entity type:Organization
Organization Name:SOWMYA PUTHALAPATTU PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOWMYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PUTHALAPATTU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-589-4479
Mailing Address - Street 1:22999 HIGHWAY 59 N
Mailing Address - Street 2:STE. 124
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4412
Mailing Address - Country:US
Mailing Address - Phone:713-401-9540
Mailing Address - Fax:281-715-4046
Practice Address - Street 1:22999 HIGHWAY 59 N
Practice Address - Street 2:STE. 124
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4412
Practice Address - Country:US
Practice Address - Phone:713-401-9540
Practice Address - Fax:281-715-4046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-22
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1841207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty