Active NPI
Tulsiram Prathapam, HCLD, DABMGG, FACMG
- Ph.D. Medical Genetics Physician
- Irving, TX
National Provider Identifier
1700614427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics Physician
- License
- 2023186
- Practice address
- 1319 Meadow Creek Dr Apt 215
Irving, TX 75038-7205 - Phone
- (510) 322-0795
- NPI assigned
- Jul 24, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics Physician | 207SG0205X | 2023186 | TX | Primary |
Addresses
Primary practice location
1319 Meadow Creek Dr Apt 215
Irving, TX 75038-7205
Mailing address
1319 Meadow Creek Dr Apt 215
Irving, TX 75038-7205
Phone (510) 322-0795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023186 | TX | MD | Ph.D. Medical Genetics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1700614427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 MEADOW CREEK DR APT 215",
"city": "IRVING",
"state": "TX",
"postal_code": "750387205",
"telephone_number": "510-322-0795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 MEADOW CREEK DR APT 215",
"city": "IRVING",
"state": "TX",
"postal_code": "750387205",
"telephone_number": "510-322-0795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATHAPAM",
"first_name": "TULSIRAM",
"name_prefix": "Dr.",
"credential": "HCLD, DABMGG, FACMG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-24",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0205X",
"taxonomy_group": "",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": "TX",
"license": "2023186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.