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Individual

DR. BHARGAV CHOWDARY PALETI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1515 W FIR ST, PORTALES, NM 88130
(575) 356-6695
(575) 356-5948
Mailing address
1515 W FIR ST, PORTALES, NM 88130-5703
(575) 356-6695
(575) 356-5948

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MN2019-0129
NM
208M00000X
Hospitalist Physician
MD455210
PA

Other

Enumeration date
07/07/2012
Last updated
03/26/2019
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