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NPI Code Detail

MEDICARE: DR. PAVAN N PALEPU M.D.

MEDICARE: DR. PAVAN N PALEPU M.D.
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
1207P00000XEmergency Medicine Physician2012026911MO
2207Q00000XFamily Medicine Physician25855OK
32084P0800XPsychiatry Physician2012026911MO
4207Q00000XFamily Medicine Physician2012026911MO
5207QA0505XAdult Medicine Physician2012026911MO

General Provider Information

NPI Number : 1851591614
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAVAN N PALEPU M.D.
Provider Business Mailing Address
First Line : 1008 N MAIN ST
Second Line :
City : SIKESTON
State : MO
Zip : 63801-5044
Country : US
Telephone Number : 573-471-1600
Fax Number :
Provider Business Practice Location Address
First Line : 7877 WILLOW CHASE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77070-5934
Country : US
Telephone Number : 832-869-4818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2007
Last Update Date : 06/08/2026

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