Individual
SURYA KIRAN DAVULURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-7518
(504) 842-6617
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51901
CT
208M00000X
Hospitalist Physician
Primary
MD.207865
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05657743
—
MS
05
—
2400193
—
LA
01
—
51901
LICENSE
CT
Enumeration date
07/31/2009
Last updated
11/12/2015
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