Srinu Takkallapalli, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

P1236 Issued in TX

Practice address

3997 Camino Lindo
San Diego, CA 92122-2016

Phone

(573) 462-6865

NPI assigned

Jun 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Callaway Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Fulton, MO
  • NPI 1922054543
  NPD (past)
• Hospital & Medical Foundation of Paris, Inc.

  • Clinic/Center
  • Paris, IL
  • NPI 1629280367

  Family Medicine

  NPD (past)
• Pike Emergency Medicine LLC

  • Emergency Medicine Physician
  • Louisiana, MO
  • NPI 1871738823
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1841496783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 CAMINO LINDO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222016",
            "telephone_number": "573-462-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3997 CAMINO LINDO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222016",
            "telephone_number": "573-462-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKKALLAPALLI",
        "first_name": "SRINU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.126383",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2005013988",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "52452",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P1236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arshia Takestani
• Robert Kent Takesuye, D.O.
• Agueda Takeuchi, LMFT
• Asia Marie Fredrickson Takeuchi, M.D.
• Keita Takeuchi
• Dimitra A Takos, PSY.D.
• Afua Konadu Takyi, MD, MBS, MPH, MSCR
• Tal David, MD, Inc
• Shanni Tal, PSYD
• Darrion Khalil Talalele

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.