Provider Demographics
NPI:1154313815
Name:CHALLAPALLI, RAM M (MD)
Entity Type:Individual
Prefix:DR
First Name:RAM
Middle Name:M
Last Name:CHALLAPALLI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:645 N ARLINGTON AVE
Mailing Address - Street 2:STE 460
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4451
Mailing Address - Country:US
Mailing Address - Phone:775-770-7622
Mailing Address - Fax:775-770-3683
Practice Address - Street 1:75 PRINGLE WAY
Practice Address - Street 2:SUITE 401
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1464
Practice Address - Country:US
Practice Address - Phone:775-688-8000
Practice Address - Fax:775-688-8031
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2016-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV8454207RC0000X
CAA71052207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2016597Medicaid
CAA710520Medicare ID - Type Unspecified
NVG61719Medicare UPIN
NV2016597Medicaid