Individual
GIRIDHAR S TALLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21110 BISCAYNE BLVD STE 403, AVENTURA, FL 33180-1252
(305) 918-0742
(305) 918-0787
Mailing address
21110 BISCAYNE BLVD STE 403, AVENTURA, FL 33180-1252
(305) 918-0742
(305) 918-0787
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME85266
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007325500
—
FL
01
—
190236
AMERIGROUP
FL
01
—
288172
AVMED
FL
01
—
34506
BCBS
FL
01
—
3980742
CIGNA
FL
01
—
43118
NHP
FL
01
—
7746438
AETNA
FL
01
—
H65077
VISTA
FL
01
—
P00301349
RAILROAD MEDICARE
FL
Enumeration date
08/11/2005
Last updated
05/18/2023
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