MURALI KRISHNA BOGAVALLI (NPI# 1316255870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316255870 |
| Entity Type | Individual |
| Full Name | MURALI KRISHNA BOGAVALLI |
| Practice Address |
2750 Aster St Lake Charles LA 70601-8824 |
| Mailing Address |
Po Box 122539 Dept 2539 Dallas TX 75312-2539 |
| Practice Telephone | 3374808900 |
| Practice Fax Number | 3374808901 |
| Mailing Telephone | 3374808900 |
| Mailing Fax Number | 3374808901 |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2016-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD.207963 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
2750 ASTER ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-8824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013993484 | Michael K Seep | Family Medicine | 2750 Aster St, Lake Charles, LA 70601-8824 | 2005-12-19 |
| 1770041410 | Megan Michelle Thomason | Nurse Anesthetist, Certified Registered | 2750 Aster St, Lake Charles, LA 70601-8824 | 2019-03-12 |
| 1689131633 | Cody Michael Abshire | Nurse Anesthetist, Certified Registered | 2750 Aster St, Lake Charles, LA 70601-8824 | 2019-02-26 |
| 1073045605 | Kira Racine Groves | Family Medicine | 2750 Aster St, Lake Charles, LA 70601-8824 | 2017-04-02 |
| 1962894212 | Logan Keller | Nurse Practitioner | 2750 Aster St, Lake Charles, LA 70601-8824 | 2015-02-24 |
| 1972923761 | Donald Higgins | Family Medicine | 2750 Aster St, Lake Charles, LA 70601-8824 | 2014-04-21 |
| 1962798843 | Mark Sepehr Samii | Family Medicine | 2750 Aster St, Lake Charles, LA 70601-8824 | 2011-06-20 |
| 1053605758 | Jeffrey Paul Allain | Registered Nurse | 2750 Aster St, Lake Charles, LA 70601-8824 | 2011-05-31 |
| 1760703763 | Gurjot Kaur Basra | Internal Medicine | 2750 Aster St, Lake Charles, LA 70601-8824 | 2010-06-14 |
| 1760708606 | Rodney Ledesma Acuna | Family Medicine | 2750 Aster St, Lake Charles, LA 70601-8824 | 2010-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861582504 | Fayez Khader Shamieh | Psychiatry & Neurology | 707 S Ryan St, Lake Charles, LA 70601-5728 | 2006-10-13 |
| 1528158292 | Reynard C Odenheimer | Psychiatry & Neurology | 646 W Mcneese St, Lake Charles, LA 70605-5558 | 2006-10-13 |
| 1245212455 | Timothy R Best | Psychiatry & Neurology | 707 Dr. Michael Debakey Drive, Lake Charles, LA 70601-5728 | 2005-11-15 |
| 1295103844 | Mmg Nelson Rd LLC | Psychiatry & Neurology | 4345 Nelson Rd, Lake Charles, LA 70605-4156 | 2015-09-11 |
| 1215326756 | Reynard C Odenheimer Md A Professional Medical Corporation | Psychiatry & Neurology | 816 W Bayou Pines Dr, Lake Charles, LA 70601-7077 | 2015-01-22 |
| 1184060923 | Nirmala Tumarada | Psychiatry & Neurology | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2013-05-20 |
| 1639379670 | Fayez K. Shamieh, M.d. A Medical Corporation | Psychiatry & Neurology | 707 S Ryan St, Lake Charles, LA 70601-5728 | 2007-07-18 |
| 1528034188 | Alan Carl Sconzert | Psychiatry & Neurology | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374746 | Neupro LLC | Psychiatry & Neurology | 17086 Abita Ave, Prairieville, LA 70769-3369 | 2020-07-23 |
| 1548826803 | Brainwire LLC | Psychiatry & Neurology | 128 Keeneland Ln, Lafayette, LA 70503-6213 | 2019-05-13 |
| 1417474339 | Ascension Medical Associates, LLC | Psychiatry & Neurology | 37325 Market Place Dr., Suite D, Prairieville, LA 70769 | 2017-08-23 |
| 1881056778 | Miguel Federico Molina | Psychiatry & Neurology | 2912 Robert St, New Orleans, LA 70125-5033 | 2016-03-22 |
| 1750743621 | Jessica Chachere Baity | Psychiatry & Neurology | 1542 Tulane Ave Fl 7, New Orleans, LA 70112-2865 | 2016-03-22 |
| 1629451638 | Chaitanya Amrutkar | Psychiatry & Neurology | 1811 E Bert Koun Loop Ste 120, Shreveport, LA 71105-5741 | 2015-07-08 |
| 1962899872 | Tashfin Samiul Huq | Psychiatry & Neurology | 726 N Acadia Rd Ste 2300, Thibodaux, LA 70301-5078 | 2015-04-17 |
| 1841684263 | Oliver Achi | Psychiatry & Neurology | 2312 E Main St Ste C, New Iberia, LA 70560-4064 | 2015-03-24 |
| 1104232289 | Martha Montgomery Robinson | Psychiatry & Neurology | 1430 Tulane Ave # 8065, New Orleans, LA 70112-2632 | 2014-07-09 |
| 1124439328 | Tanya Kapoor-maini | Psychiatry & Neurology | 120 Ochsner Blvd Ste 320, Gretna, LA 70056 | 2014-05-12 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.