Basic Information
| Provider Information | |||||||||
| NPI: | 1639250384 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TURLAPATI | ||||||||
| FirstName: | KRISHNA | ||||||||
| MiddleName: | MOHAN | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3823 | ||||||||
| Address2: | |||||||||
| City: | MCALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785023823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9566839399 | ||||||||
| FaxNumber: | 9566839378 | ||||||||
| Practice Location | |||||||||
| Address1: | 101 E RIDGE RD | ||||||||
| Address2: | |||||||||
| City: | MCALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785031248 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9566839399 | ||||||||
| FaxNumber: | 9566839378 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2006 | ||||||||
| LastUpdateDate: | 03/01/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 03/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | J9405 | TX | N | Allopathic & Osteopathic Physicians | Family Medicine | 2080P0203X | J9405 | TX | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Critical Care Medicine | 208000000X | J9405 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
ID Information
| ID | Type | State | Issuer | Description | 1106304-02 | 01 | TX | CSHCN-CIDC | OTHER | 1106304-03 | 05 | TX | MEDICAID |