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THIBODAUX MEDICAL CLINIC
NPI 1083727838
Clinic/Center - Rural Health in Thibodaux, LA

Active since August 16, 2006CLIA 19D0988136 · Waiver
931 N CANAL BLVD, THIBODAUX, LA 70301(985) 446-6381(985) 446-5992 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Thibodaux Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THIBODAUX MEDICAL CLINIC (NPI 1083727838) is a healthcare organization registered as a rural health in Thibodaux, Louisiana and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Gayathri Talluri, Owner, as its authorized official.

NPPES Registry Identity

NPI1083727838
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameRAJA TALLURI MD A PROFESSIONAL MEDICAL CORPORATION
Location Address931 N CANAL BLVDThibodaux, LA 70301-8095
Mailing Address1214 Cardinal DrThibodaux, LA 70301-4815 · (985) 446-6381 · Fax (985) 446-5992
Phone(985) 446-6381
Fax(985) 446-5992
Organization SubpartNo
Authorized OfficialGayathri TalluriOwner · (985) 414-0682
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 7, 2022
NPPES CertifiedJuly 7, 2022
✔ NPI 1083727838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
931 N CANAL BLVD, Thibodaux, LA 70301
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Other Names 1

Doing Business AsThibodaux Medical Clinic

Other Identifiers 1

Medicaid2152858LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0988136

Thibodaux Medical Center · Thibodaux, LA
Active · expires Jun 20, 2027
CLIA Number19D0988136
Laboratory TypePhysician Office
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorRaja Talluri
Laboratory Phone(985) 446-6381
Laboratory LocationThibodaux Medical Center931 North Canal Blvd, Thibodaux, LA 70301
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TORI MARIE GUIDRY FNP-BC
Nurse Practitioner (Family)
931 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 446-6381
BRIANNA LANDRUM FNP
Nurse Practitioner (Family)
931 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 446-6381
SUNANDA KOTAPURI
Internal Medicine
931 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 446-6381
MICHELLE SANDLIN GUIDRY FNP-C
Nurse Practitioner
931 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 446-6381
LAURA GUIDRY FNP-C
Nurse Practitioner
931 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 446-6381
CHANTEL CHARPENTIER FNP-C
Nurse Practitioner (Family)
931 N CANAL BLVD
THIBODAUX, LA 70301
Lafourche Parish (985) 446-6381

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raja Talluri MD A Professional Medical Corporation's NPI number?

The NPI number for Raja Talluri MD A Professional Medical Corporation is 1083727838. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider is doing business as Thibodaux Medical Clinic.

Where is Raja Talluri MD A Professional Medical Corporation located?

Raja Talluri MD A Professional Medical Corporation is located at 931 N Canal Blvd, Thibodaux, LA 70301. The listed phone number is (985) 446-6381.

What is Raja Talluri MD A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Raja Talluri MD A Professional Medical Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0988136) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Raja Talluri MD A Professional Medical Corporation accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Raja Talluri MD A Professional Medical Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raja Talluri MD A Professional Medical Corporation was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.