Provider Demographics
NPI:1699097576
Name:PARUPALLI, NAVEEN
Entity type:Individual
Prefix:MR
First Name:NAVEEN
Middle Name:
Last Name:PARUPALLI
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 1:94 GREENE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1011
Mailing Address - Country:US
Mailing Address - Phone:718-783-0890
Mailing Address - Fax:718-783-0893
Practice Address - Street 1:94 GREENE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-1011
Practice Address - Country:US
Practice Address - Phone:718-783-0890
Practice Address - Fax:718-783-0893
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000063183500000X
MD15946183500000X
NJ28RI03037200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist