Prabhandh Reddy Gollapalle

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

8380 W Cheyenne Ave Ste 102
Las Vegas, NV 89129-2175

Phone

(360) 536-7522

NPI assigned

Mar 21, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742688000000",
    "number": "1740081025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 BURNHAM AVE APT 1026",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891231576",
            "telephone_number": "702-330-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 W CHEYENNE AVE STE 102",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891292175",
            "telephone_number": "360-536-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLAPALLE",
        "first_name": "PRABHANDH REDDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-23",
        "certification_date": "2025-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijay B. Goli, M.D.
• Timothy Michael Golia Jr., DO
• Daniel Golich Jr.
• Dawit Golla
• Michelle Golladay
• Kristel Erin Gollayan
• Alexis Gollaz
• Denise Gollaz
• Kimberly Dawn Gollen
• Autumn Gollhofer

• Student in an Organized Health Care Education/Training Program in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Student in an Organized Health Care Education/Training Program in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2025; 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.