| Mouli Associates Llc | |
|
216 Hemlock Ave Ste 103 South Windsor CT 06074-9607 | |
| (860) 471-8030 | |
| (860) 244-9143 |
| Full Name | Mouli Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 216 Hemlock Ave Ste 103, South Windsor, Connecticut |
| Authorized Official Name and Position | Satyarani Tallapureddy (OWNER) |
| Authorized Official Contact | 8604718030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mouli Associates Llc 216 Hemlock Ave Ste 103 South Windsor CT 06074-9607 Ph: (860) 471-8030 | Mouli Associates Llc 216 Hemlock Ave Ste 103 South Windsor CT 06074-9607 Ph: (860) 471-8030 |
| NPI Number | 1598408809 |
|---|---|
| Provider Enumeration Date | 04/14/2022 |
| Last Update Date | 07/15/2022 |
| Medicare PECOS PAC ID | 3678955473 |
|---|---|
| Medicare Enrollment ID | O20220726002317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598408809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Satyarani Tallapureddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467470740 PECOS PAC ID: 7012996853 Enrollment ID: I20040715001113 |
| Provider Name | Tyler Dewhurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336153386 PECOS PAC ID: 5698735959 Enrollment ID: I20111227000130 |
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