Active NPIIndividual provider

Dr. Prasad Medepalli

Internal Medicine in Fairlawn, New Jersey

NPI Number1912941691
Practice location
15-01 Broadway (Suite), Suite 38, Fairlawn, NJ 07410
Fax
—
Last updated
July 8, 2007

Prasad Medepalli is an Internal Medicine based in Fairlawn, NJ. Prasad Medepalli practices in Fairlawn, NJ. The NPI Number for Prasad Medepalli is 1912941691 and holds a License No. 30507 (NJ). The current practice location address for Prasad Medepalli is 15-01 Broadway (Suite), Suite 38, Fairlawn, NJ 07410 and can be reached out via phone at 201-791-9241.

Provider Profile Details

NPI Number
1912941691
Provider Name
Prasad Medepalli
Provider Entity Type
Individual
Gender
Male
Address
15-01 Broadway (Suite), Suite 38, Fairlawn, NJ 07410
Phone Number
201-791-9241
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15-01 Broadway (Suite)
Suite 38
Fairlawn, NJ 07410
Zip
07410
Phone Number
201-791-9241
Fairlawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
15-01 Broadway (Suite)
Fairlawn, NJ 07410
City
Fairlawn
State
NJ
Zip
07410
Phone Number
201-791-9241

License Information

License Number
30507
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Prasad Medepalli?

The NPI number of Dr. Prasad Medepalli is 1912941691. It was assigned on June 15, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Prasad Medepalli?

Dr. Prasad Medepalli is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 30507.

Where does Dr. Prasad Medepalli practice?

The practice location is 15-01 Broadway (Suite), Suite 38, Fairlawn, NJ 07410. The office can be reached at 201-791-9241 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912941691 directly on the NPPES registry website.

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