Individual
MR. DINESH VINAYAK JILLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, INTERNAL MEDICINE, MSC 10 - 5550, ALBUQUERQUE, NM 87131
(505) 272-4661
Mailing address
1 UNIVERSITY OF NEW MEXICO, INTERNAL MEDICINE, MSC 10 - 5550, ALBUQUERQUE, NM 87131
(505) 272-4661
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
82532
GA
390200000X
Student in an Organized Health Care Education/Training Program
RS2014-0273
NM
Other
Enumeration date
06/16/2014
Last updated
08/05/2019
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