Individual
SHARAT VALLURUPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, DEPARTMENT OF PSYCHIATRY, ALBANY, NY 12208-3412
(518) 262-3095
Mailing address
1489 LAVISTA RD NE STE A, ATLANTA, GA 30324-3846
(678) 400-3670
(916) 252-7896
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
78332
GA
390200000X
Student in an Organized Health Care Education/Training Program
63536
NY
Other
Enumeration date
06/12/2014
Last updated
06/02/2020
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