Provider Demographics
NPI:1104855758
Name:NALLAPATI, RAJESH KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJESH
Middle Name:KUMAR
Last Name:NALLAPATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-6400
Mailing Address - Fax:717-851-6410
Practice Address - Street 1:4020 CARLISLE RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:PA
Practice Address - Zip Code:17315-3508
Practice Address - Country:US
Practice Address - Phone:717-851-6400
Practice Address - Fax:717-851-6410
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067031L207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD643185OtherCAREFIRST MD BCBS
PA7462870OtherAETNA
PA108249OtherJOHNS HOPKINS
PA169006OtherUNISON-WMG DIM
PA20036411OtherAH MERCY-WMG DIM
PA20036412OtherAH MERCY-WMG CFA
PA35295OtherGEISINGER
PA001735573Medicaid
PA2555992OtherHIGHMARK BLUE SHIELD
PA50053318OtherCAPITAL BC-WMG DIM
PA0194610000OtherAMERIHEALTH 65 PA
PA1539345OtherGATEWAY-WMG CFA
PA2128230OtherMAMSI-WMG
PA50040849OtherCAPITAL BC-WMG CFA
PA998046OtherUMPC-WMG
PA159184OtherUNISON-WMG CFA
PAP002682OtherGATEWAY-WMG DIM
PAP002682OtherGATEWAY-WMG DIM
PA35295OtherGEISINGER
PAP01537438Medicare PIN
PA023033FLTMedicare PIN