Provider Demographics
NPI:1689651887
Name:ALAPATI, BHANU SREE (MD)
Entity Type:Individual
Prefix:DR
First Name:BHANU
Middle Name:SREE
Last Name:ALAPATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6171 NW 77THTERRACE
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067
Mailing Address - Country:US
Mailing Address - Phone:407-792-3131
Mailing Address - Fax:
Practice Address - Street 1:6171 NW 77TH TER
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33067-1109
Practice Address - Country:US
Practice Address - Phone:407-792-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-28
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME92102207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL273675600Medicaid
FL273675600Medicaid
FL070797RTFMedicare ID - Type Unspecified