Provider Demographics
NPI:1538963780
Name:ULAVALA, PRANEETH (MBBS)
Entity type:Individual
Prefix:DR
First Name:PRANEETH
Middle Name:
Last Name:ULAVALA
Suffix:
Gender:M
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PLOT 62,63, 3RD FLOOR, SREEJA SOUDHAM, VINAYAK NAGAR
Mailing Address - Street 2:HAFEEZPET, MIYAPUR
Mailing Address - City:HYDERABAD
Mailing Address - State:TELANGANA
Mailing Address - Zip Code:500049
Mailing Address - Country:IN
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1125 N COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-1908
Practice Address - Country:US
Practice Address - Phone:479-713-8310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program