Individual
PUSHPA PAVULURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4917 DIXIE HWY STE E, LOUISVILLE, KY 40216-2565
(502) 414-5043
(877) 243-0175
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36739
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64101884
—
KY
01
—
P00307134
RR MEDICARE
KY
Enumeration date
05/26/2006
Last updated
02/12/2026
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