Provider Demographics
NPI:1992805832
Name:TURLAPATI, SUHASINI (MD)
Entity type:Individual
Prefix:
First Name:SUHASINI
Middle Name:
Last Name:TURLAPATI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 E GRANT STREET
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54911
Mailing Address - Country:US
Mailing Address - Phone:920-739-9550
Mailing Address - Fax:920-739-9060
Practice Address - Street 1:820 E GRANT STREET
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54911
Practice Address - Country:US
Practice Address - Phone:920-739-9550
Practice Address - Fax:920-739-9060
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI25661207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI391440104019OtherBLUE CROSS
WI30533300Medicaid
WI391440104019OtherBLUE CROSS
WI000045065Medicare ID - Type Unspecified