Provider Demographics
NPI:1700986809
Name:SUDHAKAR GARLAPATI,M.D.,P.C
Entity Type:Organization
Organization Name:SUDHAKAR GARLAPATI,M.D.,P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUDHAKAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GARLAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-462-2106
Mailing Address - Street 1:401 WALL ST
Mailing Address - Street 2:STE F
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-2521
Mailing Address - Country:US
Mailing Address - Phone:219-462-2106
Mailing Address - Fax:
Practice Address - Street 1:401 WALL ST
Practice Address - Street 2:STE F
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2521
Practice Address - Country:US
Practice Address - Phone:219-462-2106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN707780Medicare ID - Type Unspecified
IN247800AMedicare PIN
IN247800Medicare PIN
B29323Medicare UPIN