1922052513 NPI number — DR. VAMSHI KRISHNA GARLAPATY M.D

Table of content: DR. VAMSHI KRISHNA GARLAPATY M.D (NPI 1922052513)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922052513 NPI number — DR. VAMSHI KRISHNA GARLAPATY M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GARLAPATY
Provider First Name:
VAMSHI
Provider Middle Name:
KRISHNA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1922052513
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/24/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1886 WEST AUBURN ROAD
Provider Second Line Business Mailing Address:
SUITE 400
Provider Business Mailing Address City Name:
ROCHESTER HILLS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48309-0919
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-290-3111
Provider Business Mailing Address Fax Number:
248-290-3100

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3535 WEST 13 MILE ROAD
Provider Second Line Business Practice Location Address:
SUITE 247
Provider Business Practice Location Address City Name:
ROYAL OAK
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48309-0919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-288-9340
Provider Business Practice Location Address Fax Number:
248-551-6020
Provider Enumeration Date:
05/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  4301085493 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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