Provider Demographics
NPI:1205191889
Name:NARLA, ANUPAMA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANUPAMA
Middle Name:
Last Name:NARLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANUPAMA
Other - Middle Name:
Other - Last Name:AINAMPUDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:115 TECHNOLOGY DR
Mailing Address - Street 2:B 107
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-6337
Mailing Address - Country:US
Mailing Address - Phone:203-268-2239
Mailing Address - Fax:
Practice Address - Street 1:115 TECHNOLOGY DR
Practice Address - Street 2:B 107
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-6337
Practice Address - Country:US
Practice Address - Phone:203-268-2239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT055276207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology