Individual
NAGENDA RAO THOTAKURA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 WHITESPORT DR, SUITE 104, HUNTSVILLE, AL 35801
(256) 880-0376
(256) 880-0395
Mailing address
333 WHITESPORT DR, SUITE 104, HUNTSVILLE, AL 35801
(256) 880-0376
(256) 880-0395
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
00012774
AL
Other
Enumeration date
06/03/2006
Last updated
07/09/2007
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