Provider Demographics
NPI:1952406134
Name:ALAPPAN, DEVICA V (MD)
Entity Type:Individual
Prefix:DR
First Name:DEVICA
Middle Name:V
Last Name:ALAPPAN
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 1:1900 11TH AVE
Mailing Address - Street 2:STE A
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31901-1673
Mailing Address - Country:US
Mailing Address - Phone:706-323-3400
Mailing Address - Fax:706-321-1684
Practice Address - Street 1:1900 11TH AVE
Practice Address - Street 2:STE A
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1673
Practice Address - Country:US
Practice Address - Phone:706-323-3400
Practice Address - Fax:706-321-1684
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA049526208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA049526Medicaid
GA00898796AMedicaid
GA00898796AMedicaid