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Organization
PRASADA R NALLURI MD PA
Active
Organization
PRASADA R NALLURI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRASADA R NALLURI (PRESIDENT)
(409) 982-5000
Entity
Organization
Contact information
Practice address
2501 JIMMY JOHNSON BLVD, SUITE 302, PORT ARTHUR, TX 77640-2007
(409) 727-3000
(409) 727-5686
Mailing address
2501 JIMMY JOHNSON BLVD, SUITE 302, PORT ARTHUR, TX 77640-2007
(409) 727-3000
(409) 727-5686
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K8371
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036NL
BCBS
TX
05
—
178551101
—
TX
Enumeration date
06/09/2006
Last updated
07/18/2008
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