Provider Demographics
NPI:1609165158
Name:SARIPALLI, RANGARAJU
Entity Type:Individual
Prefix:MR
First Name:RANGARAJU
Middle Name:
Last Name:SARIPALLI
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 1:25 CHESTNUT HILL PLZ
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2701
Mailing Address - Country:US
Mailing Address - Phone:302-731-9335
Mailing Address - Fax:302-733-0396
Practice Address - Street 1:25 CHESTNUT HILL PLZ
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2701
Practice Address - Country:US
Practice Address - Phone:302-731-9335
Practice Address - Fax:302-733-0396
Is Sole Proprietor?:No
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0003368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist