NPI 1083727838

Raja Talluri MD a Professional Medical Corporation

Organisation Rural Health Clinic/Center Thibodaux, LA

Practice location

Address: 931 N Canal Blvd, Thibodaux, LA 70301-8095
Phone: (985) 446-6381
Fax: (985) 446-5992
Mailing address: 1214 Cardinal Dr, Thibodaux, LA 70301-4815

Authorised official

Name: Gayathri Talluri
Title: Owner
Phone: (985) 414-0682

Registered specialties (3)

Rural Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QR1300X

Other Clinic/Center providers in Louisiana →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Louisiana →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Louisiana →

Registry record

NPI: 1083727838
Entity type: Organization
NPI issued: 16 Aug 2006
Record last updated: 7 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.