Indra Prasad Reddy Peram M.D

NPI 1063653285 - Family Medicine - 207Q00000X

NPI Details
NPI 1063653285
Gender Male
Enumeration Date 03/18/2009
Last Updated 12/07/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
4311 E LOHMAN AVE
LAS CRUCES NM, 88011-8255, US
Phone (575) 556-7785
Fax
Business Location
4311 E LOHMAN AVE
LAS CRUCES NM, 88011-8255, US
Phone (575) 556-7785
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 4301094456
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According to our database, Dr. Indra Prasad Reddy Peram M.D NPI is 1063653285, taxonomy code is 207Q00000X and license number is 4301094456, license state is located at Michigan. Indra Prasad Reddy Peram M.D physically located at 4311 E Lohman Ave, Las Cruces NM, 88011-8255. NPI Number Indra Prasad Reddy Peram M.D has the Individual type.

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1063653285 NPI number is provided on an as is basis without warranty of any kind. 1063653285 is maintained by the National Plan & Provider Enumeration System. The contents of Indra Prasad Reddy Peram M.D are for informational purposes only.