| Raja Talluri Md A Professional Medical Corporation | |
|
931 N Canal Blvd Thibodaux LA 70301-8095 | |
| (985) 446-6381 | |
| (985) 446-5992 |
| Full Name | Raja Talluri Md A Professional Medical Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 931 N Canal Blvd, Thibodaux, Louisiana |
| Authorized Official Name and Position | Gayathri Talluri (OWNER) |
| Authorized Official Contact | 9854140682 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raja Talluri Md A Professional Medical Corporation 1214 Cardinal Dr Thibodaux LA 70301-4815 Ph: (985) 446-6381 | Raja Talluri Md A Professional Medical Corporation 931 N Canal Blvd Thibodaux LA 70301-8095 Ph: (985) 446-6381 |
| NPI Number | 1083727838 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 07/07/2022 |
| Medicare PECOS PAC ID | 6608817077 |
|---|---|
| Medicare Enrollment ID | O20100218000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083727838 | NPI | - | NPPES |
| 2152858 | Medicaid | LA |
| Provider Name | Chantel M Charpentier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821086133 PECOS PAC ID: 4486628302 Enrollment ID: I20040825000538 |
| Provider Name | Gayathri Talluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699792564 PECOS PAC ID: 9032253752 Enrollment ID: I20100218000852 |
| Provider Name | Christy L Hebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013144559 PECOS PAC ID: 1850569450 Enrollment ID: I20110726000896 |
| Provider Name | Venkata S Devabhaktuni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891734752 PECOS PAC ID: 0941261374 Enrollment ID: I20191010001345 |
| Provider Name | Tina Kauderer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366763468 PECOS PAC ID: 4688960610 Enrollment ID: I20210607002767 |
| Provider Name | Michelle Guidry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699424523 PECOS PAC ID: 8921487307 Enrollment ID: I20220615000002 |
| Provider Name | Summer L Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306674957 PECOS PAC ID: 2466980099 Enrollment ID: I20250110001182 |
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