Individual
DR. SASIKALA VEMULAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6819 LIMA RD, FORT WAYNE, IN 46818-1145
(260) 969-6200
(260) 969-6201
Mailing address
PO BOX 8857, FORT WAYNE, IN 46898-8857
(260) 969-6200
(260) 969-6201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01068581A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200994720
—
IN
Enumeration date
09/06/2007
Last updated
03/18/2011
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