Individual
SAPAN K POLEPALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2940 GRAND CONCOURSE, SUITE 1A, BRONX, NY 10458-2611
(718) 684-2516
(718) 684-2518
Mailing address
PO BOX 2157, MONROE, NY 10949-7157
(845) 346-5815
(718) 684-2518
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
239371
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02753693
—
NY
Enumeration date
05/27/2006
Last updated
03/30/2012
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