Provider Demographics
NPI:1972603587
Name:ALAPATI, VIDYA (MD)
Entity Type:Individual
Prefix:DR
First Name:VIDYA
Middle Name:
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 1:13596 HIGHWAY 231 431 N STE 4
Mailing Address - Street 2:
Mailing Address - City:HAZEL GREEN
Mailing Address - State:AL
Mailing Address - Zip Code:35750-8618
Mailing Address - Country:US
Mailing Address - Phone:256-829-0610
Mailing Address - Fax:256-829-1371
Practice Address - Street 1:13596 HIGHWAY 231 431 N STE 4
Practice Address - Street 2:
Practice Address - City:HAZEL GREEN
Practice Address - State:AL
Practice Address - Zip Code:35750-8618
Practice Address - Country:US
Practice Address - Phone:256-829-0610
Practice Address - Fax:256-829-1371
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL26879207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL26879OtherSTATE LICENSE
AL51535927OtherBLUE CROSS/BLUE SHIELD
AL51535927OtherBLUE CROSS/BLUE SHIELD