Individual
DR. ASHISH VIJAYAKUMAR REGULAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 BROADWAY N, FARGO, ND 58122
(701) 234-3360
(701) 234-3868
Mailing address
PO BOX 2010, FARGO, ND 58122-2784
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
14956
ND
Other
Enumeration date
01/30/2009
Last updated
07/18/2018
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