Provider Demographics
NPI:1457431876
Name:PAPPA, AFREEN S (MD)
Entity type:Individual
Prefix:
First Name:AFREEN
Middle Name:S
Last Name:PAPPA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2001 BUTTERFIELD RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1050
Mailing Address - Country:US
Mailing Address - Phone:630-725-2832
Mailing Address - Fax:877-489-5993
Practice Address - Street 1:2615 SOUTHWEST FWY
Practice Address - Street 2:SUITE 220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-4609
Practice Address - Country:US
Practice Address - Phone:713-527-8731
Practice Address - Fax:713-527-8731
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2016-06-10
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Provider Licenses
StateLicense IDTaxonomies
TXJ4415207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX340731OtherGROUP MEDICARE PTAN
TX340739OtherGROUP MEDICARE PTAN
TX292955YY2HMedicare PIN
TX292955YY2GMedicare PIN
TX340739OtherGROUP MEDICARE PTAN