Individual
SOUMYA JALADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905
(915) 215-4956
(915) 215-4770
Mailing address
5130 GATEWAY BLVD E # 51015, EL PASO, TX 79905-1608
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
81366-20
WI
207ZB0001X
Blood Banking & Transfusion Medicine Physician
U8351
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
U8351
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
05/08/2024
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