Mulpur, Tejanand Gowtham

Mulpur, Tejanand Gowtham is an sole proprietor health care provider with primary practice located at 201 Sivley Rd Sw St # 560, Huntsville AL 35801-5134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mulpur, Tejanand Gowtham can be contacted via phone (256) 265-5606.

Contact Information

Primary practice address
201 Sivley Rd Sw St # 560 Huntsville AL 35801-5134
Phone: (256) 265-5606
Fax: (256) 265-6561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 15031 Alabama

Profile Details

NPI number 1720048309
LBN Legal business name Mulpur, Tejanand Gowtham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2006
Last updated Sep 28th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720048309 NPPES
Alabama MEDICAID 000082289

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