Provider Demographics
NPI:1013991538
Name:GARLAPATI, KRISHNAIAH C (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISHNAIAH
Middle Name:C
Last Name:GARLAPATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-2670
Mailing Address - Country:US
Mailing Address - Phone:419-448-4525
Mailing Address - Fax:419-448-4051
Practice Address - Street 1:455 W MARKET ST
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-2670
Practice Address - Country:US
Practice Address - Phone:419-448-4525
Practice Address - Fax:419-448-4051
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35 04 4134207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0460997Medicaid
OH0460997Medicaid