Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raja Talluri MD a Professional Medical Corporation

Organization Family Medicine Physician · NPI 1083727838

Raja Talluri MD a Professional Medical Corporation is a Family Medicine Physician in Thibodaux, Louisiana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

931 N Canal Blvd
Thibodaux, LA 70301-8095
Phone: (985) 446-6381
Fax: (985) 446-5992
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1083727838
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gayathri Talluri — Owner · (985) 414-0682
Other names Thibodaux Medical Clinic; Thibodaux Medical Clinic
NPI enumeratedAugust 16, 2006
Last updated in NPPESJuly 7, 2022
Certification dateJuly 7, 2022
Mailing address1214 Cardinal Dr, Thibodaux, LA 70301-4815

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