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NPI Code Detail

MEDICARE: DR. PURNIMA RANI TRIPATHY

MEDICARE: DR. PURNIMA RANI TRIPATHY
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
1207R00000XInternal Medicine Physician036.134840IL
2208M00000XHospitalist Physician036.134740IL
3207RN0300XNephrology PhysicianMD.38153AL

General Provider Information

NPI Number : 1588952493
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PURNIMA RANI TRIPATHY
Provider Business Mailing Address
First Line : PO BOX 1105
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46206-1105
Country : US
Telephone Number : 216-233-8250
Fax Number :
Provider Business Practice Location Address
First Line : 124 S UNIVERSITY BLVD STE A
Second Line :
City : MOBILE
State : AL
Zip : 36608-3078
Country : US
Telephone Number : 251-343-5004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2011
Last Update Date : 10/30/2019

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Directions to “ DR. PURNIMA RANI TRIPATHY ” Practice Location

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