MEDICARE: DR. RAJESH ATLURI MD

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	K6804	TX

General Provider Information

NPI Number	:	1265437107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJESH ATLURI MD

Provider Business Mailing Address
First Line	:	1619 MIDWESTERN PKWY
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76302-1921
Country	:	US
Telephone Number	:	940-689-8900
Fax Number	:	940-689-8901

Provider Business Practice Location Address
First Line	:	1619 MIDWESTERN PKWY
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76302-1921
Country	:	US
Telephone Number	:	940-689-8900
Fax Number	:	940-689-8901

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	10/21/2008

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