Basic Information
Provider Information
NPI: 1639690787
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALAPPAT
FirstName: ANNA
MiddleName: PAUL
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1801 SUNSET DRIVE
Address2: WOMEN'S CENTER
City: COLUMBIA
State: SC
PostalCode: 29203
CountryCode: US
TelephoneNumber: 8034344127
FaxNumber: 8034344155
Practice Location
Address1: 1801 SUNSET DRIVE
Address2: WOMEN'S CENTER
City: COLUMBIA
State: SC
PostalCode: 29203
CountryCode: US
TelephoneNumber: 8034344127
FaxNumber: 8034344155
Other Information
ProviderEnumerationDate: 06/29/2017
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XLL51122SCY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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