MEDICARE: RADHIKA PALURI M.D.

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	226410	NY

General Provider Information

NPI Number	:	1033156443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RADHIKA PALURI M.D.

Provider Business Mailing Address
First Line	:	13 APRIL LN
Second Line	:
City	:	WESTFORD
State	:	MA
Zip	:	01886-3425
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 SPRINGS RD
Second Line	:	STATION 11A
City	:	BEDFORD
State	:	MA
Zip	:	01730-1114
Country	:	US
Telephone Number	:	781-687-2466
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	05/27/2011

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