Individual
SRINIVAS REDDY PULAGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-6000
(701) 780-1942
Mailing address
PO BOX 6002, GRAND FORKS, ND 58206-6002
(701) 780-6000
(701) 780-1942
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10277
ND
208M00000X
Hospitalist Physician
Primary
C129613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13994
—
ND
Enumeration date
11/17/2006
Last updated
07/31/2023
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