Individual
HARSHA UMESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1407 REDROCK DR, GALLUP, NM 87301-5647
(432) 559-5924
Mailing address
1407 REDROCK DR, GALLUP, NM 87301-5647
(432) 559-5924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10025508
TX
Other
Enumeration date
12/11/2007
Last updated
12/21/2009
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