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NPI Code Detail

MEDICARE: GOPINATH SATLAPALLI

MEDICARE: GOPINATH SATLAPALLI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist68258TX
2183500000XPharmacist28RI03691000NJ
3183500000XPharmacistI066444NY

General Provider Information

NPI Number : 1114466141
Entity Type Code : Individual
Provider Name (Legal Business Name) : GOPINATH SATLAPALLI
Provider Business Mailing Address
First Line : 2 HARVEST GLN
Second Line :
City : PITTSFORD
State : NY
Zip : 14534-2769
Country : US
Telephone Number : 631-312-1294
Fax Number :
Provider Business Practice Location Address
First Line : 192 LYELL AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14608-1317
Country : US
Telephone Number : 585-458-2326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2017
Last Update Date : 07/25/2024

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Directions to “ GOPINATH SATLAPALLI ” Practice Location

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