Individual
DR. SURYAM PALANKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
US HWY 491 N, SHIPROCK, NM 87420
(505) 368-6018
(505) 368-7262
Mailing address
PO BOX 160, SHIPROCK, NM 87420
(505) 368-6018
(505) 368-7260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28R102418200
NJ
Other
Enumeration date
11/02/2005
Last updated
07/08/2007
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