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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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