Provider Demographics
NPI:1487640512
Name:GARLAPATI, VENKATRAMA R (MD)
Entity type:Individual
Prefix:
First Name:VENKATRAMA
Middle Name:R
Last Name:GARLAPATI
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 1:5800 BROADWAY
Mailing Address - Street 2:SUITE A-J
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-2601
Mailing Address - Country:US
Mailing Address - Phone:219-884-9180
Mailing Address - Fax:219-884-9280
Practice Address - Street 1:5800 BROADWAY
Practice Address - Street 2:SUITE A-J
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-2601
Practice Address - Country:US
Practice Address - Phone:219-884-9180
Practice Address - Fax:219-884-9280
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01030560207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN221020OMedicare PIN
IN629490 CMedicare ID - Type Unspecified
IND69811Medicare UPIN
IN192820 RMedicare ID - Type Unspecified