Individual provider · NPI-1

Amanda Adepalli, MD

Family Medicine · Columbus, OH

NPI number1730442245
StatusActive
Last updated in NPPESDec 31, 2024

Details

NPI
1730442245
Entity type
Individual (NPI-1)
Name
Amanda Adepalli
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 19, 2012
Certification date
Dec 31, 2024
Last updated
Dec 31, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine35.132472OHYes
207Q00000X Family Medicine262489MA

Other names

  • Amanda Vince (Other Name)

Practice location

1160 W Broad St
Columbus, OH 43222-1352

Phone 614-274-1455 · Fax 614-564-9821

Mailing address

1160 W Broad St
Columbus, OH 43222-1352

Phone 614-274-1455 · Fax 614-274-1433

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