Basic Information
Provider Information
NPI: 1033559117
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KALAPURAYIL
FirstName: PRIYANKA
MiddleName: S.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 N NINE MOUND RD
Address2:  
City: VERONA
State: WI
PostalCode: 535931032
CountryCode: US
TelephoneNumber: (608) 845-9531
FaxNumber: 6088336932
Practice Location
Address1: 100 N NINE MOUND RD
Address2:  
City: VERONA
State: WI
PostalCode: 535931032
CountryCode: US
TelephoneNumber: 6088459531
FaxNumber: 6088336932
Other Information
ProviderEnumerationDate: 07/03/2013
LastUpdateDate: 08/16/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X67773WIY Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X036140310ILN Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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