Basic Information
Provider Information
NPI: 1366738387
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AREPALLY
FirstName: SANDEEP
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3611 WASHINGTON ST UNIT B429
Address2:  
City: BOSTON
State: MA
PostalCode: 021302958
CountryCode: US
TelephoneNumber: 6176367689
FaxNumber:  
Practice Location
Address1: 800 WASHINGTON ST
Address2:  
City: BOSTON
State: MA
PostalCode: 02111
CountryCode: US
TelephoneNumber: 6176367689
FaxNumber: 6176368594
Other Information
ProviderEnumerationDate: 06/28/2011
LastUpdateDate: 09/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X075375GAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0200XMD16342RIN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RS0012X075375GAN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RS0012XMD16342RIN Allopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
207RP1001XMD16342RIY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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