Provider Demographics
NPI:1538489810
Name:UPPALAPATI, SRI VENKATA (MBBS, MD)
Entity type:Individual
Prefix:DR
First Name:SRI
Middle Name:VENKATA
Last Name:UPPALAPATI
Suffix:
Gender:M
Credentials:MBBS, MD
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Mailing Address - Street 1:655 LOUISE DR
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75069-9421
Mailing Address - Country:US
Mailing Address - Phone:918-852-9062
Mailing Address - Fax:
Practice Address - Street 1:4664 AMERICAN AVE STE B
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-4017
Practice Address - Country:US
Practice Address - Phone:661-800-9155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-09
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011051922084P0800X
TXR63052084P0800X
CAC1703762084P0800X
CA1703762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1538489810Medicaid
MI1538489810Medicaid