MEDICARE: DR. KOKILA THIRUMURTHI D.O.

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	M2838	TX

General Provider Information

NPI Number	:	1508903865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KOKILA THIRUMURTHI D.O.

Provider Business Mailing Address
First Line	:	2450 OAK HILL CIR
Second Line	:	APT. 2425
City	:	FORT WORTH
State	:	TX
Zip	:	76109-9508
Country	:	US
Telephone Number	:	817-705-0975
Fax Number	:

Provider Business Practice Location Address
First Line	:	7800 OAKMONT BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4203
Country	:	US
Telephone Number	:	817-346-0094
Fax Number	:

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

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	02/05/2014

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