Provider Demographics
NPI:1841320215
Name:NIRMALA VALLURUPALLI M.D. P.A.
Entity type:Organization
Organization Name:NIRMALA VALLURUPALLI M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NIRMALA
Authorized Official - Middle Name:PRASAD
Authorized Official - Last Name:VALLURUPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-562-3100
Mailing Address - Street 1:1441 N REDBUD BLVD
Mailing Address - Street 2:STE 201
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-3224
Mailing Address - Country:US
Mailing Address - Phone:972-562-3100
Mailing Address - Fax:972-542-7797
Practice Address - Street 1:1441 N REDBUD BLVD
Practice Address - Street 2:STE 201
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3224
Practice Address - Country:US
Practice Address - Phone:972-562-3100
Practice Address - Fax:972-542-7797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6419207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB27231Medicare UPIN
TX00FL42Medicare PIN