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1518134329

NPI Code Detail

MEDICARE: DR. NEELIMA PALADUGU MD

MEDICARE: DR. NEELIMA PALADUGU 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	207RC0001X	Clinical Cardiac Electrophysiology Physician	MD60717761	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01780980	OTHER	WA	RR PTAN WVH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518134329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEELIMA PALADUGU MD

Provider Business Mailing Address
First Line	:	820 N CHELAN AVE
Second Line	:
City	:	WENATCHEE
State	:	WA
Zip	:	98801-2028
Country	:	US
Telephone Number	:	509-663-8711
Fax Number	:

Provider Business Practice Location Address
First Line	:	1023 LIPSCOMB ST STE 200
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3102
Country	:	US
Telephone Number	:	817-595-0050
Fax Number	:	817-770-0244

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

Provider Enumeration Date	:	05/12/2008
Last Update Date	:	12/02/2022

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Directions to “ DR. NEELIMA PALADUGU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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