Healthcare Provider Details

I. General information

NPI: 1689774515
Provider Name (Legal Business Name): RAMAMOHAN V TURLAPATI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 02/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 E GRANT STREET
APPLETON WI
54911
US

IV. Provider business mailing address

820 E GRANT STREET
APPLETON WI
54911
US

V. Phone/Fax

Practice location:
  • Phone: 920-739-9550
  • Fax: 920-739-9060
Mailing address:
  • Phone: 920-739-9550
  • Fax: 920-739-9060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number29310
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: