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1629086889
JAY PUDUPAKKAM
DALLAS, TX
NPI
1629086889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX K4199)
Enumeration Date
2006-08-04
Last Update Date
2008-04-22
Business Address
-- JAY PUDUPAKKAM M.D.
12221 MERIT DR STE 460
DALLAS, TX 75251-2245
Phone number: 469-374-3850
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Mailing Address
-- JAY PUDUPAKKAM M.D.
12221 MERIT DR STE 460
DALLAS, TX 75251-2245
Phone number: 469-374-3850
Copy
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