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DR MARUPURU A PROFESSIONAL CORPORATION NPI 1174090021


NPI Information

NPI: 1174090021
Provider Name: DR MARUPURU A PROFESSIONAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2161737

Address:
490 S FARRELL DR STE C106
PALM SPRINGS, CA
ZIP 92262
Phone: (760) 416-6773
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DR MARUPURU A PROFESSIONAL CORPORATION is a family medicine in Palm Springs, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR MARUPURU A PROFESSIONAL CORPORATION NPI is 1174090021. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

490 S FARRELL DR STE C106
PALM SPRINGS, CA
ZIP 92262-962
Phone: (760) 416-6773

The provider's authorized official is Soujanya Marupuru .
The authorized official title is President and has the following contact phone number (316) 841-6306.

The CLIA number assigned to this NPI record is 05D2161737 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/30/2018 and was last updated on 11/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.