Healthcare Provider Details

I. General information

NPI: 1548486244
Provider Name (Legal Business Name): TURAL PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 WALNUT ST
FALL RIVER MA
02720-3315
US

IV. Provider business mailing address

465 WALNUT ST
FALL RIVER MA
02720-3315
US

V. Phone/Fax

Practice location:
  • Phone: 508-674-8348
  • Fax: 774-365-6615
Mailing address:
  • Phone: 508-674-8348
  • Fax: 774-365-6615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier9779191
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer

VIII. Authorized Official

Name: DR. ALI R TURAL
Title or Position: PRESIDENT
Credential: MD
Phone: 508-674-8348