Provider Demographics
NPI:1194032078
Name:TALAMPALLY, HARINATH
Entity type:Individual
Prefix:MR
First Name:HARINATH
Middle Name:
Last Name:TALAMPALLY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15232 SW 117 LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196
Mailing Address - Country:US
Mailing Address - Phone:786-683-2359
Mailing Address - Fax:
Practice Address - Street 1:1699 NW 7TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3604
Practice Address - Country:US
Practice Address - Phone:305-644-4032
Practice Address - Fax:305-644-4037
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40883183500000X
NY055255183500000X
NJ28RI03276200183500000X
MI5302035863183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist