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Organization

PUCHALAPALLI M D, INC.

Active
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Organization

PUCHALAPALLI M D, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUBBAREDDY PUCHALAPALLI MD (OWNER)
(812) 232-3225
Entity
Organization

Contact information

Practice address
2250 WABASH AVE, TERRE HAUTE, IN 47807-3317
(812) 232-3225
(812) 232-4215
Mailing address
2250 WABASH AVE, TERRE HAUTE, IN 47807-3317
(812) 232-3225
(812) 232-4215

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01046393A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200148980C
IN
Enumeration date
08/04/2010
Last updated
02/09/2011
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