Raja Talluri MD a Professional Medical Corporation
Doing business as Thibodaux Medical Clinic
Rural health clinic in Thibodaux, LA, Medicare certification number 193897.
Medicare certification
Provider of Services- CCN
- 193897
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Mar 18, 2011
- Last certification
- Jul 24, 2023
- Address
- 931 North Canal Blvd
Thibodaux, LA 70301
(225) 265-3061
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Thibodaux Medical Clinic
- Rural Health Clinic/Center
- Thibodaux, LA
- NPI 1083727838
Medicare enrollment
Other rural health clinics near Thibodaux, LA
No other rural health clinics are listed in Thibodaux, LA; these share its ZIP code area (703xx).
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.