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Individual

NAGARAJ SANCHITHA HONGANUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
400 W 16TH ST PARKVIEW MEDICAL CENTER, GME OFFICE, PUEBLO, CO 81003
(719) 595-7585
Mailing address
400 W 16TH ST PARKVIEW MEDICAL CENTER, GME OFFICE, PUEBLO, CO 81003

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD.48986
AL
207RC0000X
Cardiovascular Disease Physician
TL0008934
AL
390200000X
Student in an Organized Health Care Education/Training Program
CO

Other

Enumeration date
06/10/2021
Last updated
10/10/2024
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