1346390325 NPI number — MULRAJ N. KATIRA, MD., APMC

Table of content: (NPI 1346390325)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346390325 NPI number — MULRAJ N. KATIRA, MD., APMC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MULRAJ N. KATIRA, MD., APMC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346390325
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/21/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 254
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CROWLEY
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70527-0254
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
337-788-1733
Provider Business Mailing Address Fax Number:
337-788-0028

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
576 N AVENUE G
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CROWLEY
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70526-4441
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
337-788-1733
Provider Business Practice Location Address Fax Number:
337-788-0028
Provider Enumeration Date:
01/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KATIRA
Authorized Official First Name:
MULRAJ
Authorized Official Middle Name:
NARSIDAS
Authorized Official Title or Position:
OWNER AND PRESIDENT
Authorized Official Telephone Number:
337-788-1733

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  014062 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1306576 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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