Individual
DR. SURJIT REDDY MOOLAMALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4351 E LOHMAN AVE, SUITE 401, LAS CRUCES, NM 88011-8259
(575) 522-4767
(575) 522-3607
Mailing address
4351 E LOHMAN AVE STE 401, LAS CRUCES, NM 88011-8261
(575) 522-4767
(575) 522-3607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01053146A
IN
207Q00000X
Family Medicine Physician
47545
MN
207V00000X
Obstetrics & Gynecology Physician
MD2010-0726
NM
207V00000X
Obstetrics & Gynecology Physician
Primary
N8693
TX
Other
Enumeration date
05/23/2005
Last updated
09/22/2025
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