Provider Demographics
NPI:1346390325
Name:MULRAJ N. KATIRA, MD., APMC
Entity Type:Organization
Organization Name:MULRAJ N. KATIRA, MD., APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MULRAJ
Authorized Official - Middle Name:NARSIDAS
Authorized Official - Last Name:KATIRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-788-1733
Mailing Address - Street 1:PO BOX 254
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70527-0254
Mailing Address - Country:US
Mailing Address - Phone:337-788-1733
Mailing Address - Fax:337-788-0028
Practice Address - Street 1:576 N AVENUE G
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-4441
Practice Address - Country:US
Practice Address - Phone:337-788-1733
Practice Address - Fax:337-788-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA014062207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1306576Medicaid
LAB63790Medicare UPIN
LA5C632Medicare PIN