Radhika Koppanur

NPI #1225420839 in Sugar Land, Texas

Provider Information

NPI Number: 1225420839
Entity Type: Individual
Name: Radhika Koppanur
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Enumeration Date: Feb 19, 2015
Last Updated: Feb 24, 2015

Practice Location

Address: 15200 US-59 S.
Address 2: 360
City: Sugar Land
State: Texas
ZIP Code: 77478-4032
Phone: (713) 840-5170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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