DR. ANIL CHOUDARY NALLURI M.D. NPI 1467420919

NPI Information

NPI: 1467420919
Provider Name: DR. ANIL CHOUDARY NALLURI, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 36D2017918

Address:
5500 MARKET ST
SUITE 128
YOUNGSTOWN, OH
ZIP 44512
Phone: (330) 783-1147
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DR. Anil Choudary Nalluri, M.D. is a specialist in Youngstown, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Anil Choudary Nalluri, M.D. NPI is 1467420919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5500 MARKET ST
SUITE 128
YOUNGSTOWN, OH
ZIP 44512-601
Phone: (330) 783-1147
Fax: (330) 783-3238

The NPI 1467420919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The CLIA number assigned to this NPI record is 36D2017918 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2006 and was last updated on 9/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		35-040657	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	A77453	MEDICARE UPIN	OHIO
2	0444424	MEDICARE PIN	OHIO
3	0356127	MEDICAID	OHIO
4	000098641	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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