Individual
MADHAVILATHA TADEPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1710 HARRISON STREET, BATESVILLE, AR 72501
(870) 262-2700
Mailing address
1710 HARRISON STREET, BATESVILLE, AR 72501
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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