Individual
DR. SURAJ GOPAL REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2372
(505) 225-2500
(505) 225-2025
Mailing address
610 BROADWAY BLVD NE, ALBUQUERQUE, NM 87102-2372
(505) 225-2500
(505) 225-2025
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD2007-0565
NM
Other
Enumeration date
06/15/2007
Last updated
03/10/2021
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