Thibodaux Medical Clinic
LBN: Raja Talluri Md A Professional Medical Corporation
Thibodaux Medical Clinic is an health care organization with primary practice located at 931 N Canal Blvd , Thibodaux LA 70301-8095. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Raja Talluri Md A Professional Medical Corporation can be contacted via phone (985) 446-6381, or through Talluri, Gayathri via phone (985) 414-0682.
Contact Information
Primary practice address
931 N Canal Blvd
Thibodaux LA 70301-8095
Phone: (985) 446-6381
Fax: (985) 446-5992
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
NPI number | 1083727838 |
---|---|
LBN Legal business name | Raja Talluri Md A Professional Medical Corporation |
DBA Doing business as | Thibodaux Medical Clinic |
Authorized official | Talluri, Gayathri Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 16th, 2006 |
Last updated | Jul 7th, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083727838 | NPPES |
Louisiana | MEDICAID | 2152858 |
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