Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jay Pudupakkam, MD

Individual provider Internal Medicine Physician · NPI 1629086889

Jay Pudupakkam, MD is an Internal Medicine Physician in Dallas, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12221 Merit Dr Ste 460
Dallas, TX 75251-2245
Phone: (469) 374-3850
Fax: (469) 374-3851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence K4199 (TX)

Record details

NPI number1629086889
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 4, 2006
Last updated in NPPESApril 22, 2008

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