Provider Demographics
NPI:1396529434
Name:MARIPURI, DEVI PRIYANKA (GC)
Entity type:Individual
Prefix:
First Name:DEVI PRIYANKA
Middle Name:
Last Name:MARIPURI
Suffix:
Gender:F
Credentials:GC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7841 RIDGE AVE APT A-123
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-3034
Mailing Address - Country:US
Mailing Address - Phone:214-892-6617
Mailing Address - Fax:
Practice Address - Street 1:3615 CIVIC CENTER BLVD STE 1016
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4318
Practice Address - Country:US
Practice Address - Phone:267-426-0181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS