Individual
PALLAVI R. CHERUKUPALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10920 MOSS PARK RD STE 218, ORLANDO, FL 32832-6087
(407) 730-5600
(407) 289-4036
Mailing address
10920 MOSS PARK RD STE 218, ORLANDO, FL 32832-6087
(407) 730-5600
(407) 289-4036
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
057788
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME127634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319151189A
—
GA
05
—
319151189B
—
GA
05
—
319151189C
—
GA
05
—
319151189D
—
GA
Enumeration date
05/18/2006
Last updated
03/17/2018
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