Active NPI
Indupriya Palasani, M.D.
- Rheumatology Physician
- Villa Rica, GA
National Provider Identifier
1356506828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 061311
- Practice address
- 705 Dallas Hwy
Suite 301
Villa Rica, GA 30180-1247 - Phone
- (770) 459-0408
- NPI assigned
- Jul 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 061311 | GA | Primary |
Addresses
Primary practice location
705 Dallas Hwy
Suite 301
Villa Rica, GA 30180-1247
Mailing address
150 Clinic Ave
Suite 101
Carrollton, GA 30117-4401
Phone (770) 834-0873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1356506828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CLINIC AVE",
"address_2": "SUITE 101",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301174401",
"telephone_number": "770-834-0873",
"fax_number": "770-834-6118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 DALLAS HWY",
"address_2": "SUITE 301",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301801247",
"telephone_number": "770-459-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALASANI",
"first_name": "INDUPRIYA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-24",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "GA",
"license": "061311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Villa Rica, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.