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NPI Code Detail

MEDICARE: KRS MEDICAL SERVICES, PLLC

MEDICARE: KRS MEDICAL SERVICES, 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
1261QE0800XEndoscopy Clinic/Center189588NY

General Provider Information

NPI Number : 1912334103
Entity Type Code : Organization
Provider Name (Legal Business Name) : KRS MEDICAL SERVICES, PLLC
Provider Business Mailing Address
First Line : PO BOX 180
Second Line :
City : ALBERTSON
State : NY
Zip : 11507-0180
Country : US
Telephone Number : 718-237-1596
Fax Number : 718-222-1650
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 : OWNER
Name : DR. PURNA CHANDRA PRASAD ATLURI
Credential : M.D.
Telephone Number : 718-237-1596
Provider Enumeration Date : 10/02/2013
Last Update Date : 10/02/2013

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