Healthcare Provider Details

I. General information

NPI: 1144256421
Provider Name (Legal Business Name): DELAWARE INFECTIOUS DISEASES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 GOODEN AVE
DOVER DE
19904-4143
US

IV. Provider business mailing address

31 GOODEN AVE
DOVER DE
19904-4143
US

V. Phone/Fax

Practice location:
  • Phone: 302-674-9141
  • Fax:
Mailing address:
  • Phone: 302-674-9141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC1-0005882
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberC1-0005882
License Number StateDE

VIII. Authorized Official

Name: RAMESH VEMULAPALLI
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 302-674-9141