Individual
DR. PRATHYUSHA GUDAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8360
Mailing address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO2023-1047
NM
207RH0003X
Hematology & Oncology Physician
DO2023-1047
NM
Other
Enumeration date
05/13/2020
Last updated
08/21/2025
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