PURNA ATLURI, M.D., PLLC - NPI 1255543476 - Specialist in Brooklyn, NY

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Purna Atluri, M.d., Pllc NPPES

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

PURNA ATLURI, M.D., PLLC (NPI 1255543476) is a healthcare organization registered as a specialist in Brooklyn, New York and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through October 18, 2026 and lists Purna C Atluri, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1255543476

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NamePURNA ATLURI, M.D., PLLC

Location Address322 LINDEN BLVDBrooklyn, NY 11226-3579

Mailing Address322 Linden BlvdBrooklyn, NY 11226-3579 · (718) 237-1596

Phone(718) 237-1596

Fax(718) 222-1650

Organization SubpartNo

Authorized OfficialPurna C AtluriSole Proprietor · (718) 237-1596

Enumeration DateMay 3, 2007

Last NPPES UpdateDecember 2, 2011

✔ NPI 1255543476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 189588

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

322 LINDEN BLVD, Brooklyn, NY 11226

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Other Identifiers 3

Medicaid01707157NY

Medicare UPING20894

Medicare ID-Type Unspecified756333

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 SINGLE SPECIALTY GROUP

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 Compliance 33D2091261

Purna Atluri, MD, PLLC · Brooklyn, NY

Active · expires Oct 18, 2026

CLIA Number33D2091261

Laboratory TypePhysician Office

Certificate Effective DateOctober 19, 2024

Certificate Expiration DateOctober 18, 2026

Laboratory DirectorDr. Zesong P. Zhang

Laboratory Phone(718) 237-1596

Laboratory LocationPurna Atluri, MD, PLLC322 Linden Boulevard, Ground Floor, Brooklyn, NY 11226

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

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

DR. STEVEN LIVERPOOL M.D.

Internal Medicine