Provider Demographics
NPI:1447507470
Name:MURALI PEDIATRICS LLC
Entity type:Organization
Organization Name:MURALI PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIJAYALAKSHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:MURALI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-745-0900
Mailing Address - Street 1:1337 COTTMAN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19111-3728
Mailing Address - Country:US
Mailing Address - Phone:215-745-0900
Mailing Address - Fax:215-745-6023
Practice Address - Street 1:1337 COTTMAN AVE
Practice Address - Street 2:SUITE B
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-3728
Practice Address - Country:US
Practice Address - Phone:215-745-0900
Practice Address - Fax:215-745-6023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042611L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty