Organization Active NPI

Murali Davuluri MD Apmc

  • Pediatrics Physician
  • Houma, LA
National Provider Identifier
1043363260
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
06662R Issued in LA
Legal business name
MURALI DAVULURI MD APMC
Practice address
1020 Lee Ave
Houma, LA 70360-5756
Phone
(985) 868-7500
Fax
(985) 223-6300
NPI assigned
Jan 19, 2007
Organization subpart
Yes
Parent organization
MURALI DAVULURI MD A PROFESSIONAL MEDICAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Murali Davuluri, MD FANP MB BSNPI 1063676518
Title
President
Phone
(985) 868-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 06662R LA Primary

Addresses

Primary practice location

1020 Lee Ave
Houma, LA 70360-5756

Mailing address

1020 Lee Ave
Houma, LA 70360-5756
Phone (985) 868-7500

Other identifiers 2

IdentifierTypeStateIssuer
1368750MedicaidLA
426378542COtherLABCBS OF LA

Other names 1

  • DAVULURI CHILDREN'S CLINIC Other name

National Provider Directory

National Provider Directory
Part of
Murali Davuluri MD Apmc

Locations

1020 Lee Ave
Houma, LA 70360
Phone (504) 580-1235

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1043363260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LEE AVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605756",
            "telephone_number": "985-868-7500",
            "fax_number": "985-223-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 LEE AVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703605756",
            "telephone_number": "985-868-7500",
            "fax_number": "985-223-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURALI DAVULURI MD APMC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MURALI DAVULURI MD A PROFESSIONAL MEDICAL CORPORATION",
        "enumeration_date": "2007-01-19",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "DAVULURI",
        "authorized_official_first_name": "MURALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-868-7500",
        "authorized_official_credential": "MD FANP MB BS"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "06662R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1368750",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF LA",
            "identifier": "426378542C",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVULURI CHILDREN'S CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.