Organization
UNITED MEDICAL GROUP PLLC
Active
Organization
UNITED MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TEJA V. SURAPANENI M.D. (CHIEF EXECUTIVE OFFICER)
(702) 430-7801
Entity
Organization
Contact information
Practice address
9205 W. RUSSELL ROAD, BUILDING 3, STE 240, LAS VEGAS, NV 89148
(702) 430-7801
(702) 444-2535
Mailing address
9205 W. RUSSELL ROAD, BUILDING 3, STE 240, LAS VEGAS, NV 89148
(702) 430-7801
(702) 444-2535
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
05/31/2019
Last updated
05/04/2023
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