Prasada R Nalluri MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K8371 Issued in TX

Legal business name

PRASADA R NALLURI MD PA

Practice address

2501 Jimmy Johnson Blvd
Suite 302
Port Arthur, TX 77640-2007

Phone

(409) 727-3000

Fax

(409) 727-5686

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Prasada R Nalluri

Title

President

Phone

(409) 982-5000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1265473151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "SUITE 302",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-727-3000",
            "fax_number": "409-727-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 JIMMY JOHNSON BLVD",
            "address_2": "SUITE 302",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-727-3000",
            "fax_number": "409-727-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRASADA R NALLURI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "NALLURI",
        "authorized_official_first_name": "PRASADA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-982-5000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K8371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178551101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0036NL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Port Arthur Isd
• Port Arthur Pathology Association
• Port Arthur Smiles Inc
• Port Arthur Surgical Association
• Port Arthur Surgical Center, LLC
• Premise Health of Texas Medical PA
• Prestige Medical Services, PLLC
• Lindsey Deann Price, D.D.S.
• Primary Care Pediatrics,PA
• Prioux Incorporated

• Internal Medicine Physician in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.