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Organization

MURALI DAVULURI MD APMC

Active
Parent organization
MURALI DAVULURI MD A PROFESSIONAL MEDICAL CORPORATION
Other names
DAVULURI CHILDREN'S CLINIC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MURALI DAVULURI MD A PROFESSIONAL MEDICAL CORPORATION
Authorized official
MURALI DAVULURI MD FANP MB BS (PRESIDENT)
(985) 868-7500
Entity
Organization

Contact information

Practice address
1020 LEE AVE, HOUMA, LA 70360-5756
(985) 868-7500
(985) 223-6300
Mailing address
1020 LEE AVE, HOUMA, LA 70360-5756
(985) 868-7500
(985) 223-6300

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
06662R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1368750
LA
01
426378542C
BCBS OF LA
LA
Enumeration date
01/19/2007
Last updated
10/01/2014
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