Provider Demographics
NPI:1831542737
Name:PALAGIRI, RAGA DEEPAK REDDY (MD)
Entity type:Individual
Prefix:
First Name:RAGA DEEPAK REDDY
Middle Name:
Last Name:PALAGIRI
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:11001 EXECUTIVE CENTER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4393
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:625 UNITED DR STE 360
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-7831
Practice Address - Country:US
Practice Address - Phone:501-358-6206
Practice Address - Fax:501-358-6809
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-15
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-15183207RP1001X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease