MEDICARE: BUTCHAIAH GARLAPATI M.D.

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
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	E3375	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326035163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BUTCHAIAH GARLAPATI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 308
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72033-0308
Country	:	US
Telephone Number	:	501-771-4370
Fax Number	:	501-327-9722

Provider Business Practice Location Address
First Line	:	308 SMOKEY LANE
Second Line	:
City	:	N LITTLE ROCK
State	:	AR
Zip	:	72117-7608
Country	:	US
Telephone Number	:	501-771-2799
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	03/19/2020

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