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NPI Code Detail

MEDICARE: DR. RAKESH LATTUPALLI MD

MEDICARE: DR. RAKESH LATTUPALLI MD
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
1207RN0300XNephrology Physician4301079669MI

General Provider Information

NPI Number : 1841292158
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAKESH LATTUPALLI MD
Provider Business Mailing Address
First Line : PO BOX 3272
Second Line :
City : SAGINAW
State : MI
Zip : 48605-3272
Country : US
Telephone Number : 989-797-1400
Fax Number : 989-797-4077
Provider Business Practice Location Address
First Line : 1101 W UNIVERSITY DR
Second Line :
City : ROCHESTER
State : MI
Zip : 48307-1863
Country : US
Telephone Number : 248-918-4206
Fax Number : 248-652-5537
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 04/28/2022

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