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NPI Code Detail

MEDICARE: DR. SASIKALA VEMULAPALLI MD

MEDICARE: DR. SASIKALA VEMULAPALLI 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
1207Q00000XFamily Medicine Physician01068581AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528253226
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SASIKALA VEMULAPALLI MD
Provider Business Mailing Address
First Line : PO BOX 8857
Second Line :
City : FORT WAYNE
State : IN
Zip : 46898-8857
Country : US
Telephone Number : 260-969-6200
Fax Number : 260-969-6201
Provider Business Practice Location Address
First Line : 6819 LIMA RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46818-1145
Country : US
Telephone Number : 260-969-6200
Fax Number : 260-969-6201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2007
Last Update Date : 03/18/2011

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