Organization Active NPI

Prasad.a.Iragavarapu, M.D, P.a

  • Internal Medicine Physician
  • Boca Raton, FL
National Provider Identifier
1679506885
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0039794 Issued in FL
Legal business name
PRASAD.A.IRAGAVARAPU, M.D, P.A
Practice address
6670 Newport Lake Cir
Boca Raton, FL 33496-3001
Phone
(561) 997-8531
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Prasad Achyuta Iragavarapu, M.D
Title
President
Phone
(561) 997-8531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0039794 FL Primary

Addresses

Primary practice location

6670 Newport Lake Cir
Boca Raton, FL 33496-3001

Mailing address

6670 Newport Lake Cir
Boca Raton, FL 33496-3001
Phone (561) 997-8531

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1679506885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 NEWPORT LAKE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334963001",
            "telephone_number": "561-997-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6670 NEWPORT LAKE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334963001",
            "telephone_number": "561-997-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASAD.A.IRAGAVARAPU, M.D, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "IRAGAVARAPU",
        "authorized_official_first_name": "PRASAD",
        "authorized_official_middle_name": "ACHYUTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-997-8531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "0039794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.