Provider Demographics
NPI:1144359787
Name:KORLEPARA, ARUNA (MD)
Entity type:Individual
Prefix:DR
First Name:ARUNA
Middle Name:
Last Name:KORLEPARA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 S ROCKINGHAM WAY
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-3724
Mailing Address - Country:US
Mailing Address - Phone:716-598-3622
Mailing Address - Fax:
Practice Address - Street 1:5725 S TRANSIT RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-5864
Practice Address - Country:US
Practice Address - Phone:167-438-3890
Practice Address - Fax:167-438-3894
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY265395207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1144359987OtherVA HEALTH CARE
PA1018765560001Medicaid
I72068Medicare UPIN