Pallavala, Reddy Rupa

Pallavala, Reddy Rupa is an individual health care provider with primary practice located at 3000 S State Road 135 Suite 310, Greenwood IN 46143-9825. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Pallavala, Reddy Rupa can be contacted via phone (317) 497-2400.

Contact Information

Primary practice address
3000 S State Road 135 Suite 310 Greenwood IN 46143-9825
Phone: (317) 497-2400
Fax: (317) 497-2515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01073752A Indiana

Profile Details

NPI number 1053686808
LBN Legal business name Pallavala, Reddy Rupa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2012
Last updated Nov 27th, 2023 - about 2 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 1053686808 NPPES
Indiana MEDICAID 201227860
Indiana Other P01347731

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