DR. ANTHONY SUSEELKANTH KOPPULA M.D. NPI 1336301746

NPI Information

NPI: 1336301746
Provider Name: DR. ANTHONY SUSEELKANTH KOPPULA, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

Address:
757 WESTWOOD PLZ
7501A
LOS ANGELES, CA
ZIP 90095
Phone: (310) 267-9630
Get Directions

DR. Anthony Suseelkanth Koppula, M.D. is a cardiovascular disease internal medicine in Los Angeles, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Anthony Suseelkanth Koppula, M.D. NPI is 1336301746. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

757 WESTWOOD PLZ
7501A
LOS ANGELES, CA
ZIP 90095-358
Phone: (310) 267-9630

The NPI 1336301746 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/26/2008 and was last updated on 8/11/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		A100501	CALIFORNIA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	100501	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AO104Z	MEDICARE PIN	CALIFORNIA
2	0A1005010	MEDICAID	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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