Provider Demographics
NPI:1669661880
Name:BABITHA NALLURI MD LTD
Entity Type:Organization
Organization Name:BABITHA NALLURI MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BABITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:NALLURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-758-2041
Mailing Address - Street 1:PO BOX 14577
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44514-7577
Mailing Address - Country:US
Mailing Address - Phone:330-758-2041
Mailing Address - Fax:330-758-2042
Practice Address - Street 1:7067 TIFFANY BLVD
Practice Address - Street 2:SUITE 220
Practice Address - City:POLAND
Practice Address - State:OH
Practice Address - Zip Code:44514-1993
Practice Address - Country:US
Practice Address - Phone:330-758-2041
Practice Address - Fax:330-758-2042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty