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Individual

NAGA P GRANDHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
MSC 07 4240 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-5703
(505) 272-6000
Mailing address
MSC 07 4240, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-6000
(505) 272-6503

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50699
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MD2015-0752
NM

Other

Enumeration date
03/24/2008
Last updated
04/23/2024
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