Provider Demographics
NPI:1508129792
Name:DEVARAPALLI, MURALIDHARA R (MD)
Entity Type:Individual
Prefix:MR
First Name:MURALIDHARA
Middle Name:R
Last Name:DEVARAPALLI
Suffix:
Gender:M
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:P.O. BOX 60612 PEDIATRIX
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70596
Mailing Address - Country:US
Mailing Address - Phone:337-981-9316
Mailing Address - Fax:337-981-8303
Practice Address - Street 1:100 ASMA BOULEVARD
Practice Address - Street 2:SUITE 385
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508
Practice Address - Country:US
Practice Address - Phone:337-981-9316
Practice Address - Fax:337-981-8303
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD-2077242080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine