Individual
HARITHA REDDY MOPURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18558
ND
207RH0003X
Hematology & Oncology Physician
Primary
18558
ND
Other
Enumeration date
03/22/2019
Last updated
06/25/2024
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