Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 60016 | MN |
NPI | 1043565757 |
---|---|
Provider Name | Jayasri Alapati |
First Address | Bemidji, MN 56601-5112 |
Second Address | Bemidji, MN 56601-5112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2012 |
Last Update Date | 16/05/2019 |