Individual
SANTOSH RAJ POUDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
353 FAIRMONT BLVD., RAPID CITY, SD 57701
(605) 719-1000
(605) 719-8826
Mailing address
353 FAIRMONT BLVD, ATTEN CHRISTIE MMS, RAPID CITY, SD 57701-7350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8810
SD
Other
Enumeration date
05/14/2012
Last updated
06/24/2013
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