Provider Demographics
NPI:1740445246
Name:VEMULAPALLI, SWAPNA (MD,)
Entity type:Individual
Prefix:DR
First Name:SWAPNA
Middle Name:
Last Name:VEMULAPALLI
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 1:175 WESTWOOD DR APT 185
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-1629
Mailing Address - Country:US
Mailing Address - Phone:516-427-5629
Mailing Address - Fax:
Practice Address - Street 1:3435 70TH ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-1055
Practice Address - Country:US
Practice Address - Phone:718-651-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY263546207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology