Provider Demographics
NPI:1992791297
Name:ALAPATI, ANJANEYULU (MD)
Entity type:Individual
Prefix:DR
First Name:ANJANEYULU
Middle Name:
Last Name:ALAPATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 SIVLEY RD SW
Mailing Address - Street 2:STE 600
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5100
Mailing Address - Country:US
Mailing Address - Phone:256-265-2695
Mailing Address - Fax:256-265-6386
Practice Address - Street 1:201 SIVLEY RD SW
Practice Address - Street 2:SUITE 330
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5134
Practice Address - Country:US
Practice Address - Phone:256-265-2695
Practice Address - Fax:256-265-6386
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-22
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL222732084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51510857Medicaid
AL51510857Medicaid
H72202Medicare UPIN