Individual
SRIKANTH PONNADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
808 N CANAL ST, CARLSBAD, NM 88220-2418
(575) 887-5085
Mailing address
1933 LEANNE DR, CARLSBAD, NM 88220-4490
(541) 314-3271
(575) 887-8300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7444
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61512
—
NM
Enumeration date
03/04/2014
Last updated
03/04/2014
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