MEDICARE: DR. SARATH MALEPATI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1477700136
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARATH MALEPATI MD

Provider Business Mailing Address
First Line	:	2017 LOMITA BLVD # 2016
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-1701
Country	:	US
Telephone Number	:	310-991-3015
Fax Number	:	661-251-6303

Provider Business Practice Location Address
First Line	:	2017 LOMITA BLVD # 2016
Second Line	:
City	:	LOMITA
State	:	CA
Zip	:	90717-1701
Country	:	US
Telephone Number	:	310-991-3015
Fax Number	:	661-251-6303

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2008
Last Update Date	:	07/18/2012

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