Subrahman R Boyareddigari M.D.

NPI 1790717874 - Internal Medicine - 207RG0100X

NPI Details
NPI 1790717874
Gender Male
Enumeration Date 07/07/2006
Last Updated 02/02/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
202 SW 25TH AVE
SUITE 700
MINERAL WELLS TX, 76067-8298, US
Phone (940) 328-1771
Fax (940) 325-4440
Business Location
202 SW 25TH AVE
SUITE 700
MINERAL WELLS TX, 76067-8298, US
Phone (940) 328-1771
Fax (940) 325-4440
Toxanomy
Taxonomy Code 207RG0100X
License State Texas
License Number G6476
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According to our database, Subrahman R Boyareddigari M.D. NPI is 1790717874, taxonomy code is 207RG0100X and license number is G6476, license state is located at Texas. Subrahman R Boyareddigari M.D. physically located at 202 Sw 25th Ave, Mineral Wells TX, 76067-8298. NPI Number Subrahman R Boyareddigari M.D. has the Individual type.

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1790717874 NPI number is provided on an as is basis without warranty of any kind. 1790717874 is maintained by the National Plan & Provider Enumeration System. The contents of Subrahman R Boyareddigari M.D. are for informational purposes only.