Healthcare Provider Details

I. General information

NPI: 1396257531
Provider Name (Legal Business Name): SAI DOPPALAPUDI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2017
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date: 06/05/2018
Reactivation Date: 11/25/2020

III. Provider practice location address

2160 STATE RD
LANCASTER PA
17601-1812
US

IV. Provider business mailing address

2160 STATE RD
LANCASTER PA
17601-1812
US

V. Phone/Fax

Practice location:
  • Phone: 223-287-9000
  • Fax:
Mailing address:
  • Phone: 223-287-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD494480
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberMD494480
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberMD494480
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: