Provider Demographics
NPI:1134113012
Name:VEMULAPALLI, SUNITHA (MD)
Entity type:Individual
Prefix:DR
First Name:SUNITHA
Middle Name:
Last Name:VEMULAPALLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUNITHA
Other - Middle Name:
Other - Last Name:NALLAPONENI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2600 6TH ST SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44710-1702
Mailing Address - Country:US
Mailing Address - Phone:330-453-3308
Mailing Address - Fax:330-363-7413
Practice Address - Street 1:2600 6TH ST SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44710-1702
Practice Address - Country:US
Practice Address - Phone:330-453-3308
Practice Address - Fax:330-363-7413
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35084262207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2475236Medicaid
OHVE4129891Medicare ID - Type Unspecified
OH2475236Medicaid