Healthcare Provider Details

I. General information

NPI: 1982270658
Provider Name (Legal Business Name): LALASA DOPPALAPUDI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2021
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9601 BAPTIST HEALTH DR STE 900
LITTLE ROCK AR
72205-6331
US

IV. Provider business mailing address

9601 BAPTIST HEALTH DR STE 900
LITTLE ROCK AR
72205-6331
US

V. Phone/Fax

Practice location:
  • Phone: 501-224-1135
  • Fax: 501-812-7207
Mailing address:
  • Phone: 501-224-1135
  • Fax: 501-812-7207

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberE-20657
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2024011379
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: