Individual
NAVEENA SALLAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691
Mailing address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-07-7458
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000384745
BCBS-OH
OH
05
—
2166383
—
OH
01
—
35077458S
MEDICAL LICENSE
OH
01
—
421534506100
CARESOURCE
OH
01
—
7286314
AETNA
OH
Enumeration date
09/13/2006
Last updated
10/04/2016
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