Individual
DR. KRISHNA RAO NALLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10051 LORRAINE RD, SUITE B, GULFPORT, MS 39503-6001
(228) 868-5493
(228) 868-9930
Mailing address
10051 LORRAINE RD, SUITE B, GULFPORT, MS 39503-6001
(228) 868-5493
(228) 868-9930
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
12722
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014923
—
MS
Enumeration date
11/16/2006
Last updated
01/17/2013
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