Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | E3375 | AR |
NPI | 1326035163 |
---|---|
Provider Name | Butchaiah Garlapati |
First Address | Conway, AR 72033-0308 |
Second Address | N Little Rock, AR 72117-7608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2005 |
Last Update Date | 19/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
148377001 | (05) | AR |
H63303 | (02) | AR |