Provider Demographics
NPI:1720008261
Name:TOPALLI, KRISHNA BRAHMA SASTRY (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISHNA
Middle Name:BRAHMA SASTRY
Last Name:TOPALLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:TOPALLI
Other - Middle Name:KB
Other - Last Name:SASTRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:676 BATTLEFIELD BLVD N
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-0306
Mailing Address - Country:US
Mailing Address - Phone:757-410-4219
Mailing Address - Fax:757-410-4237
Practice Address - Street 1:676 BATTLEFIELD BLVD N
Practice Address - Street 2:SUITE B
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0306
Practice Address - Country:US
Practice Address - Phone:757-410-4219
Practice Address - Fax:757-410-4237
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236432208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
6761320001Medicare PIN