Individual
DR. RAVI PRASAD SAI VEMULAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1378 NW 124TH ST, SUITE 200, CLIVE, IA 50325-8151
(515) 288-6097
(515) 288-6099
Mailing address
1378 NW 124TH ST, SUITE 200, CLIVE, IA 50325-8151
(515) 288-6097
(515) 288-6099
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
31960
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171413
—
IA
Enumeration date
05/04/2006
Last updated
05/06/2015
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