Provider Demographics
NPI:1487762456
Name:ALURI, BAPU CHAND (MD)
Entity type:Individual
Prefix:
First Name:BAPU
Middle Name:CHAND
Last Name:ALURI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1230 W 24TH ST
Mailing Address - Street 2:STE 1
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-6232
Mailing Address - Country:US
Mailing Address - Phone:928-314-3702
Mailing Address - Fax:928-314-4687
Practice Address - Street 1:1230 W 24TH ST
Practice Address - Street 2:STE 1
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-6232
Practice Address - Country:US
Practice Address - Phone:928-314-3702
Practice Address - Fax:928-314-4687
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ286842084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ551095Medicaid
AZAZ0880500OtherBC/BS OF AZ.
AZ0000OtherTRIWEST
AZ7377173OtherAETNA
AZ551095Medicaid
AZ0000OtherTRIWEST