Organization Active NPI

Sarada Gullapalli, M.D.,PLLC

  • Internal Medicine Physician
  • Southfield, MI
National Provider Identifier
1821140609
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SARADA GULLAPALLI, M.D.,PLLC
Practice address
20307 W 12 Mile Rd Ste 101
Southfield, MI 48076-5407
Phone
(248) 350-9400
Fax
(248) 350-9401
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Sarada Gullapalli, M.D.
Title
Physician
Phone
(248) 350-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

20307 W 12 Mile Rd Ste 101
Southfield, MI 48076-5407

Mailing address

20307 W 12 Mile Rd Ste 101
Southfield, MI 48076-5407
Phone (248) 350-9400

Other identifiers 1

IdentifierTypeStateIssuer
700F327480OtherMIBCBS GROUP ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1821140609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20307 W 12 MILE RD STE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765407",
            "telephone_number": "248-350-9400",
            "fax_number": "248-350-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20307 W 12 MILE RD STE 101",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480765407",
            "telephone_number": "248-350-9400",
            "fax_number": "248-350-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARADA GULLAPALLI, M.D.,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "GULLAPALLI",
        "authorized_official_first_name": "SARADA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-350-9400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "700F327480",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

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