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SILPA C NANNAPANENI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2479
(765) 448-8000
(765) 448-7627
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01079392A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001140345
ANTHEM PROVIDER NUMBER
IN
05
300008403
IN
Enumeration date
06/18/2013
Last updated
10/25/2018
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