MEDICARE: DR. MURALI K NALLURI 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	207RG0100X	Gastroenterology Physician	MD60513782	WA
2	207RG0100X	Gastroenterology Physician	2005003970	MO
3	207RG0100X	Gastroenterology Physician	MD32871	AL

Other Identifiers

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

General Provider Information

NPI Number	:	1669660379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MURALI K NALLURI M.D.

Provider Business Mailing Address
First Line	:	660 S COOLIDGE ST
Second Line	:
City	:	MOSES LAKE
State	:	WA
Zip	:	98837-1872
Country	:	US
Telephone Number	:	509-793-9715
Fax Number	:	509-764-3244

Provider Business Practice Location Address
First Line	:	1550 S PIONEER WAY
Second Line	:
City	:	MOSES LAKE
State	:	WA
Zip	:	98837-4613
Country	:	US
Telephone Number	:	509-793-9784
Fax Number	:	509-764-3280

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

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	01/30/2026

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