| Raja S Talluri, MD | |
|
22080 La Hwy 20, Vacherie, LA 70090 | |
| (225) 265-3061 | |
| (225) 265-3062 |
| Full Name | Raja S Talluri |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 22080 La Hwy 20, Vacherie, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144284860 | NPI | - | NPPES |
| 1549029 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12874R (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Divinity Home Health Services, Llc | Thibodaux, LA | Home health agency |
| Thibodaux Regional Medical Center | Thibodaux, LA | Hospital |
| Terrebonne General Medical Center | Houma, LA | Hospital |
| St James Parish Hospital | Lutcher, LA | Hospital |
| Audubon Health And Rehab | Thibodaux, LA | Nursing home |
| Chateau Terrebonne Health Care | Houma, LA | Nursing home |
| Thibodaux Healthcare And Rehabilitation Center | Thibodaux, LA | Nursing home |
| Assumption Healthcare And Rehabilitation | Napoleonville, LA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Joseph Medical Clinic A Medical Corporation | 9335189109 | 2 |
| Entity Name | St Joseph Medical Clinic A Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255348843 PECOS PAC ID: 9335189109 Enrollment ID: O20050921000039 |
| Entity Name | Gapp Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134814403 PECOS PAC ID: 9830551308 Enrollment ID: O20230815002945 |
| Mailing Address | Practice Location Address |
|---|---|
| Raja S Talluri, MD P.o. Box 69, Vacherie, LA 70090 Ph: (225) 265-3061 | Raja S Talluri, MD 22080 La Hwy 20, Vacherie, LA 70090 Ph: (225) 265-3061 |