Organization
TULASI R. VANAPALLI, M. D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TULASI R. VANAPALLI M. D. (PRESIDENT)
(770) 968-7421
Entity
Organization
Contact information
Practice address
1115 MOUNT ZION RD, SUITE J, MORROW, GA 30260-2266
(770) 968-7421
(770) 960-0078
Mailing address
1115 MOUNT ZION RD, SUITE J, MORROW, GA 30260-2266
(770) 968-7421
(770) 960-0078
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
024504
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52151808004
BLUE CROSS BLUE SHIELD
GA
Enumeration date
05/20/2008
Last updated
05/20/2008
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