NPI 1053686808

Reddy Rupa Pallavala, MD

Practitioner Pediatrics Physician Greenwood, IN

Practice location

Address: 3000 S State Road 135 Suite 310, Greenwood, IN 46143-9825
Phone: (317) 497-2400
Fax: (317) 497-2515
Mailing address: 6626 E. 75th Street Suite 500, Indianapolis, IN 46250-2890

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 01073752A (IN)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1053686808
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2012
Record last updated: 27 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.