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

Supraja R. Gulla, MD

Individual provider Internal Medicine Physician · NPI 1104076389

Supraja R. Gulla, MD is an Internal Medicine Physician in Georgetown, Texas. Licensed in Illinois, Indiana and Texas. Registered with an NPI since 2008.

Licensed in
IL, IN, TX
In the registry since
2008
Specialties on file
4
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

4945 Williams Dr
Georgetown, TX 78633-2008
Phone: (317) 962-2894
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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 T4929 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 125.054210 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01069786A (IN)
Hospitalist Physician Taxonomy 208M00000X · Licence 01069786A (IN)

Record details

NPI number1104076389
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 24, 2008
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing addressPo Box 844658, Dallas, TX 75284-4658

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