Provider Demographics
NPI:1659465383
Name:PURSWANI, MURLI UDHARAM (MD)
Entity type:Individual
Prefix:DR
First Name:MURLI
Middle Name:UDHARAM
Last Name:PURSWANI
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1685 MORRIS AVE
Mailing Address - Street 2:SUITE 1G
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-7717
Mailing Address - Country:US
Mailing Address - Phone:718-960-1010
Mailing Address - Fax:718-960-1011
Practice Address - Street 1:1685 MORRIS AVE
Practice Address - Street 2:SUITE 1G
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-7717
Practice Address - Country:US
Practice Address - Phone:718-960-1010
Practice Address - Fax:718-960-1011
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD316312080P0208X
FLME857192080P0208X
NY2488762080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02085505Medicaid
NYBP7117383OtherDEA NUMBER
NY379Y82Medicare ID - Type Unspecified
NY02085505Medicaid