MEDICARE: PAVIKA SARIPALLI 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	207R00000X	Internal Medicine Physician	04-28536	KS

General Provider Information

NPI Number	:	1336394576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAVIKA SARIPALLI M.D.

Provider Business Mailing Address
First Line	:	1200 SCHWEGLER DR
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66045-7558
Country	:	US
Telephone Number	:	785-864-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 SCHWEGLER DR
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66045-7558
Country	:	US
Telephone Number	:	785-864-9500
Fax Number	:

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

Provider Enumeration Date	:	12/01/2008
Last Update Date	:	12/01/2008

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