MEDICARE: MURALI PEDIATRICS LLC

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	208000000X	Pediatrics Physician	MD042611L	PA

General Provider Information

NPI Number	:	1447507470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MURALI PEDIATRICS LLC

Provider Business Mailing Address
First Line	:	1337 COTTMAN AVE
Second Line	:	SUITE B
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-3728
Country	:	US
Telephone Number	:	215-745-0900
Fax Number	:	215-745-6023

Provider Business Practice Location Address
First Line	:	1337 COTTMAN AVE
Second Line	:	SUITE B
City	:	PHILADELPHIA
State	:	PA
Zip	:	19111-3728
Country	:	US
Telephone Number	:	215-745-0900
Fax Number	:	215-745-6023

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. VIJAYALAKSHMI MURALI
Credential	:	MD
Telephone Number	:	215-745-0900

Provider Enumeration Date	:	08/09/2012
Last Update Date	:	08/09/2012

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