Provider Demographics
NPI:1184791345
Name:JULAPALLI, VENODHAR RAO (MD)
Entity type:Individual
Prefix:DR
First Name:VENODHAR
Middle Name:RAO
Last Name:JULAPALLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 FM 2920 RD STE 180
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-3698
Mailing Address - Country:US
Mailing Address - Phone:281-880-4887
Mailing Address - Fax:281-880-4889
Practice Address - Street 1:2950 FM 2920 RD STE 180
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388
Practice Address - Country:US
Practice Address - Phone:281-880-4887
Practice Address - Fax:281-880-4889
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9755207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX179184001Medicaid
TXI45431Medicare UPIN
TX179184001Medicaid