Physician Compare National (NPI:1245254838)

HEALTHCARE PROVIDER: RAJASEKHAR NALLURI M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1245254838
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840203212
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200422000535
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	NALLURI
	Individual professional last name
Provider First Name	RAJASEKHAR
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1110 TORREY PINES RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE M
	Group Practice or individual's line 2 address
City	LA JOLLA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	920374547
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y