Individual
MURALI KRISHNA BOGAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2750 ASTER ST, LAKE CHARLES, LA 70601-8824
(337) 480-8900
(337) 480-8901
Mailing address
PO BOX 122539, DEPT 2539, DALLAS, TX 75312-2539
(337) 480-8900
(337) 480-8901
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
258965
MA
2084N0400X
Neurology Physician
Primary
MD.207963
LA
Other
Enumeration date
09/18/2010
Last updated
10/27/2025
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