Healthcare Provider Details

I. General information

NPI: 1003269937
Provider Name (Legal Business Name): PRANAV GARLAPATI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2016
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 PINE ST
MONTGOMERY AL
36106-1117
US

IV. Provider business mailing address

1725 PINE ST
MONTGOMERY AL
36106-1117
US

V. Phone/Fax

Practice location:
  • Phone: 850-376-4584
  • Fax:
Mailing address:
  • Phone: 850-376-4584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number47695
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: