Organization
SUSHRUTA SURGICAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBHASH NAGALLA MD (SOLE MBR)
(432) 888-9001
Entity
Organization
Contact information
Practice address
420 E 6TH ST STE 102, ODESSA, TX 79761-4537
(432) 582-8589
Mailing address
420 E 6TH ST STE 102, ODESSA, TX 79761-4537
(432) 888-9001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
09/13/2023
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