Healthcare Provider Details

I. General information

NPI: 1134113012
Provider Name (Legal Business Name): SUNITHA VEMULAPALLI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: SUNITHA NALLAPONENI

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 6TH ST SW
CANTON OH
44710-1702
US

IV. Provider business mailing address

2600 6TH ST SW
CANTON OH
44710-1702
US

V. Phone/Fax

Practice location:
  • Phone: 330-453-3308
  • Fax: 330-363-7413
Mailing address:
  • Phone: 330-453-3308
  • Fax: 330-363-7413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35084262
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: