Provider Demographics
NPI:1851344543
Name:POLEPALLE, SILPI (MD)
Entity Type:Individual
Prefix:DR
First Name:SILPI
Middle Name:
Last Name:POLEPALLE
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 1:207 E 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79720-2706
Mailing Address - Country:US
Mailing Address - Phone:432-267-3649
Mailing Address - Fax:
Practice Address - Street 1:207 E 7TH ST
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79720-2706
Practice Address - Country:US
Practice Address - Phone:432-267-3649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6578174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist