Provider Demographics
NPI:1063813855
Name:DEVI, TALLURI (MD)
Entity Type:Individual
Prefix:
First Name:TALLURI
Middle Name:
Last Name:DEVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3827 LAKERIDGE CANYON DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7453
Mailing Address - Country:US
Mailing Address - Phone:281-325-0121
Mailing Address - Fax:281-325-0121
Practice Address - Street 1:3827 LAKERIDGE CANYON DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7453
Practice Address - Country:US
Practice Address - Phone:281-325-0121
Practice Address - Fax:281-325-0121
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ22752207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology