Shanti K Neerukonda M.D.

NPI 1740219807 - Internal Medicine - 207RI0011X

NPI Details
NPI 1740219807
Gender Male
Enumeration Date 07/01/2006
Last Updated 06/23/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
501 GOLDER AVE STE 202-A
ODESSA TX, 79761-4411, US
Phone (432) 333-6200
Fax (432) 333-6213
Business Location
501 GOLDER AVE STE 202-A
ODESSA TX, 79761-4411, US
Phone (432) 333-6200
Fax (432) 333-6213
Toxanomy
Taxonomy Code 207RI0011X
License State Texas
License Number K0148
Remove 1740219807 NPI Number
 

According to our database, Shanti K Neerukonda M.D. NPI is 1740219807, taxonomy code is 207RI0011X and license number is K0148, license state is located at Texas. Shanti K Neerukonda M.D. physically located at 501 Golder Ave Ste 202-a, Odessa TX, 79761-4411. NPI Number Shanti K Neerukonda M.D. has the Individual type.

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1740219807 NPI number is provided on an as is basis without warranty of any kind. 1740219807 is maintained by the National Plan & Provider Enumeration System. The contents of Shanti K Neerukonda M.D. are for informational purposes only.