Healthcare Provider Details

I. General information

NPI: 1609405281
Provider Name (Legal Business Name): SRI HARSHA PALAKURTY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 MARICOPA HWY
OJAI CA
93023-3131
US

IV. Provider business mailing address

PO BOX 920126
DALLAS TX
75392-0126
US

V. Phone/Fax

Practice location:
  • Phone: 888-297-0661
  • Fax:
Mailing address:
  • Phone: 877-346-2211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number31805
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberC4480
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA185746
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME157407
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: