Provider Demographics
NPI:1295715845
Name:KUCHIPUDI, SARAT B (MD)
Entity type:Individual
Prefix:MR
First Name:SARAT
Middle Name:B
Last Name:KUCHIPUDI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:951 COMMERCE PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45804-4040
Mailing Address - Country:US
Mailing Address - Phone:419-998-4575
Mailing Address - Fax:419-998-4586
Practice Address - Street 1:528 W MARKET ST
Practice Address - Street 2:SUITE 200A
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-4762
Practice Address - Country:US
Practice Address - Phone:419-227-7378
Practice Address - Fax:419-227-1370
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2023-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.074270174400000X
MI4301073294207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No174400000XOther Service ProvidersSpecialist