DR. Prasad Medepalli

NPI #1912941691 in Fairlawn, New Jersey

Provider Information

NPI Number: 1912941691
Entity Type: Individual
Name: DR. Prasad Medepalli
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Jun 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 15-01 BROADWAY (SUITE)
Address 2: SUITE 38
City: Fairlawn
State: New Jersey
ZIP Code: 07410
Phone: (201) 791-9241

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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