| Doctor Name: | RADHIKA KOPPANUR |
| NPI Number: | 1225420839 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | DT06210 |
| Business Practice Address: | 15200 Us-59 S. 360 Sugar Land, TX - 774784032 |
| Business Phone Number: | 7138405170 |
| Business Fax Number: | 2814942872 |
| Mailing Address: | 15200 Us-59 South, 360 SUGAR LAND |
| State: | TX |
| Postal Code: | 774784032 |
| Phone Number: | 7138405170 |
| Fax Number: | 2814942872 |
| NPI Enumeration Date: | 02/19/2015 |
| NPI Last Update Date: | 02/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DT06210 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |