Individual
SILAJA CHERUVU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 NORTH CENTRO FAMILIAR, ALBUQUERQUE, NM 87105
(505) 873-7400
Mailing address
1804 ANDERSON PL SE, ALBUQUERQUE, NM 87108-4503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2012-0110
NM
Other
Enumeration date
04/18/2009
Last updated
09/28/2012
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