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General NPI Number Information
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NPI Number | 1447889001
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Entity Type | Individual
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Provider Name | PUNITH REDDY THOGARIPALLY MD
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Gender | Male
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Dates
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Enumeration Date | 04/06/2020
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 275 SANDWICH ST
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City | PLYMOUTH
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State | MA
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Zip | 02360-2183
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Country | US
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Telephone | 205-862-0894
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Fax |
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Provider Business Mailing Address
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Address Line | 151 CASTLEHILL DR
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City | VESTAVIA
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State | AL
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Zip | 35226-2967
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Country | US
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Telephone | 205-862-0894
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 1015972
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License Number State | MA
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