Individual
PRANAMYA SURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 LOUISIANA BLVD NE STE 410, ALBUQUERQUE, NM 87110-5412
(505) 724-4300
(505) 724-4384
Mailing address
2100 LOUISIANA BLVD NE STE 410, ALBUQUERQUE, NM 87110-5412
(505) 724-4300
(505) 724-4384
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
D94652
MD
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD2024-0407
NM
Other
Enumeration date
04/18/2018
Last updated
05/14/2024
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