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NPI Code Detail

MEDICARE: PURNA ATLURI, M.D., PLLC

MEDICARE: PURNA ATLURI, M.D., PLLC
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
1174400000XSpecialist189588NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255543476
Entity Type Code : Organization
Provider Name (Legal Business Name) : PURNA ATLURI, M.D., PLLC
Provider Business Mailing Address
First Line : 322 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-3579
Country : US
Telephone Number : 718-237-1596
Fax Number :
Provider Business Practice Location Address
First Line : 322 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-3579
Country : US
Telephone Number : 718-237-1596
Fax Number : 718-222-1650
Authorized Official
Title or Position : SOLE PROPRIETOR
Name : PURNA C ATLURI
Credential : M.D.
Telephone Number : 718-237-1596
Provider Enumeration Date : 05/03/2007
Last Update Date : 12/02/2011

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