Organization
DEVULAPALLI MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAITAN DEVULAPALLI MD (MANAGING MEMBER)
(302) 545-7729
Entity
Organization
Contact information
Practice address
500 MAMARONECK AVE STE 211, HARRISON, NY 10528-1600
(914) 771-7373
(914) 337-6757
Mailing address
500 MAMARONECK AVE STE 211, HARRISON, NY 10528-1600
(914) 771-7373
(914) 337-6757
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003105099
INDIVIDUAL NPI
—
Enumeration date
07/13/2023
Last updated
07/13/2023
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