Provider Demographics
NPI:1427394410
Name:ARUNA PALLAPATI, M.D. INC.
Entity type:Organization
Organization Name:ARUNA PALLAPATI, M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUNA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALLAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-665-8815
Mailing Address - Street 1:435 SELKIRK DR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92881-0941
Mailing Address - Country:US
Mailing Address - Phone:951-665-8815
Mailing Address - Fax:
Practice Address - Street 1:8990 GARFIELD ST
Practice Address - Street 2:11
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3926
Practice Address - Country:US
Practice Address - Phone:951-665-8815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98165208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty