MEDICARE: ARUNA K PRATTIPATI 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	207R00000X	Internal Medicine Physician	35083448	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000385871	OTHER	OH	BC/BS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000336860	OTHER	OH	BCBS

General Provider Information

NPI Number	:	1609828367
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARUNA K PRATTIPATI MD

Provider Business Mailing Address
First Line	:	PO BOX 1013
Second Line	:
City	:	TROY
State	:	OH
Zip	:	45373-8013
Country	:	US
Telephone Number	:	937-335-9998
Fax Number	:	937-335-9840

Provider Business Practice Location Address
First Line	:	3006 N COUNTY ROAD 25A
Second Line	:	101
City	:	TROY
State	:	OH
Zip	:	45373-1373
Country	:	US
Telephone Number	:	937-339-9030
Fax Number	:

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	05/29/2008

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Directions to “ ARUNA K PRATTIPATI MD” Practice Location

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