Provider Demographics
NPI:1508271206
Name:GARLAPATI, VINAY
Entity Type:Individual
Prefix:
First Name:VINAY
Middle Name:
Last Name:GARLAPATI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 AVENUE X
Mailing Address - Street 2:7G
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-6053
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:444 AVENUE X
Practice Address - Street 2:7G
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-6053
Practice Address - Country:US
Practice Address - Phone:513-418-1457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME131721207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program