Individual
NIKHILA PALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 CRATER LAKE AVE, MEDFORD, OR 97504-6241
(541) 732-5000
Mailing address
749 SPRING ST APT 1, MEDFORD, OR 97504-6144
(425) 327-3682
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
ML61167424
WA
Other
Enumeration date
04/30/2021
Last updated
06/26/2024
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