Tulasi R. Vanapalli, M. D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

024504 Issued in GA

Legal business name

TULASI R. VANAPALLI, M. D.

Practice address

1115 Mount Zion Rd
Suite J
Morrow, GA 30260-2266

Phone

(770) 968-7421

Fax

(770) 960-0078

NPI assigned

May 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tulasi R. Vanapalli, M. D.

Title

President

Phone

(770) 968-7421

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1750548566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 MOUNT ZION RD",
            "address_2": "SUITE J",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602266",
            "telephone_number": "770-968-7421",
            "fax_number": "770-960-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 MOUNT ZION RD",
            "address_2": "SUITE J",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602266",
            "telephone_number": "770-968-7421",
            "fax_number": "770-960-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULASI R. VANAPALLI, M. D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "VANAPALLI",
        "authorized_official_first_name": "TULASI",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-968-7421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "024504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52151808004",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Morrow, GA
• Providers in Morrow, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.