MEDICARE: MOULI ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1598408809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOULI ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	216 HEMLOCK AVE STE 103
Second Line	:
City	:	SOUTH WINDSOR
State	:	CT
Zip	:	06074-9607
Country	:	US
Telephone Number	:	860-471-8030
Fax Number	:	860-244-9143

Provider Business Practice Location Address
First Line	:	216 HEMLOCK AVE STE 103
Second Line	:
City	:	SOUTH WINDSOR
State	:	CT
Zip	:	06074-9607
Country	:	US
Telephone Number	:	860-471-8030
Fax Number	:	860-244-9143

Authorized Official
Title or Position	:	OWNER
Name	:	SATYARANI TALLAPUREDDY
Credential	:	MD
Telephone Number	:	860-471-8030

Provider Enumeration Date	:	04/14/2022
Last Update Date	:	02/05/2026

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Directions to “MOULI ASSOCIATES LLC ” Practice Location

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