Provider Demographics
NPI:1558673152
Name:PALEPU, SAI PRASHANTH BABU (MD)
Entity Type:Individual
Prefix:DR
First Name:SAI PRASHANTH
Middle Name:BABU
Last Name:PALEPU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:21 EASTBROOK BEND
Mailing Address - Street 2:SUITE 18
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1546
Mailing Address - Country:US
Mailing Address - Phone:678-967-5599
Mailing Address - Fax:678-603-9843
Practice Address - Street 1:10018 KENNERLY RD.
Practice Address - Street 2:
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63128-2106
Practice Address - Country:US
Practice Address - Phone:314-208-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2017011098208M00000X, 207Q00000X
TXBP1-0037472207Q00000X
IL036132314208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist