Healthcare Provider Details

I. General information

NPI: 1922052513
Provider Name (Legal Business Name): VAMSHI KRISHNA GARLAPATY M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 10/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 WEST 13 MILE ROAD SUITE 247
ROYAL OAK MI
48309-0919
US

IV. Provider business mailing address

1886 WEST AUBURN ROAD SUITE 400
ROCHESTER HILLS MI
48309-0919
US

V. Phone/Fax

Practice location:
  • Phone: 248-288-9340
  • Fax: 248-551-6020
Mailing address:
  • Phone: 248-290-3111
  • Fax: 248-290-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number4301085493
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: