Individual
DR. PRADEEP GOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
3131 MEMORIAL CT APT 12104, HOUSTON, TX 77007-6255
(312) 490-9388
Mailing address
3131 MEMORIAL CT APT 12104, HOUSTON, TX 77007-6255
(312) 490-9388
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.125014
IL
390200000X
Student in an Organized Health Care Education/Training Program
39
NJ
Other
Enumeration date
05/22/2008
Last updated
10/11/2012
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