Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | DO.2023 | AL |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101019987 | MI |
NPI | 1063775112 |
---|---|
Provider Name | Sundeep Alapati |
First Address | Madison Heights, MI 48071-3487 |
Second Address | Huntsville, AL 35801-4306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2012 |
Last Update Date | 18/09/2019 |