Individual
DR. SMITHA REDDY PASULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
930 W WILSON AVE, MOORESVILLE, NC 28117-8811
(704) 663-7500
Mailing address
104 PROSPECT AVE, BAYONNE, NJ 07002-4542
(201) 658-2864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
201101319
NC
Other
Enumeration date
06/14/2011
Last updated
04/03/2012
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