Provider Demographics
NPI:1871614248
Name:ALAPATI, VISHNUBABU (MD)
Entity type:Individual
Prefix:
First Name:VISHNUBABU
Middle Name:
Last Name:ALAPATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4140 CARPENTER AVE
Mailing Address - Street 2:APT. 1D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-2650
Mailing Address - Country:US
Mailing Address - Phone:347-275-6583
Mailing Address - Fax:
Practice Address - Street 1:506 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-3609
Practice Address - Country:US
Practice Address - Phone:718-780-5388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242782282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital