Provider Demographics
NPI:1578107595
Name:PALAPATI, NAGARAJENDRA BABU (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:NAGARAJENDRA
Middle Name:BABU
Last Name:PALAPATI
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:52188 VAN DYKE AVE STE 308
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-3567
Mailing Address - Country:US
Mailing Address - Phone:248-826-3862
Mailing Address - Fax:
Practice Address - Street 1:52188 VAN DYKE AVE STE 308
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48316-3567
Practice Address - Country:US
Practice Address - Phone:248-829-6527
Practice Address - Fax:248-920-8064
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-01
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5501016728225100000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist