Provider Demographics
NPI:1912493107
Name:KARRI, TULASI DEEPTHI (MD)
Entity type:Individual
Prefix:DR
First Name:TULASI DEEPTHI
Middle Name:
Last Name:KARRI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 S MAIN ST STE 160
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4500
Mailing Address - Country:US
Mailing Address - Phone:714-509-3444
Mailing Address - Fax:714-509-3477
Practice Address - Street 1:505 S MAIN ST STE 160
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4500
Practice Address - Country:US
Practice Address - Phone:714-509-3444
Practice Address - Fax:714-509-3477
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301115516208000000X, 208000000X
MI4301504070208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics