Individual
MEENAKSHI DAVULURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0027
(570) 808-7850
(570) 808-7904
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 808-7850
(570) 808-7904
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
306104
NY
208800000X
Urology Physician
Primary
MD493727
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
04/16/2026
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