Cherukupally, Pallavi R.

Cherukupally, Pallavi R. is an sole proprietor health care provider with primary practice located at 10920 Moss Park Rd Ste 218 , Orlando FL 32832-6087. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Cherukupally, Pallavi R. can be contacted via phone (407) 730-5600.

Contact Information

Primary practice address
10920 Moss Park Rd Ste 218 Orlando FL 32832-6087
Phone: (407) 730-5600
Fax: (407) 289-4036
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 057788 Georgia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME127634 Florida

Profile Details

NPI number 1144273723
LBN Legal business name Cherukupally, Pallavi R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144273723 NPPES
Georgia MEDICAID 319151189B
Georgia MEDICAID 319151189A
Georgia MEDICAID 319151189C
Georgia MEDICAID 319151189D

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