Individual
DR. PRAVEEN NALLAPAREDDY
Active
Individual
DR. PRAVEEN NALLAPAREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
01072083A
IN
207RG0100X
Gastroenterology Physician
036.118276
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118276
—
IL
05
—
100202290
—
IN
01
—
105715
ANTHEM
IN
01
—
221956
IL MEDICAID PTAN
IL
01
—
628340
MEDICARE PTAN
IN
Enumeration date
07/08/2008
Last updated
12/05/2019
Update your record
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