Individual
MR. NEERAJ RAVINDRA NAGELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17910 BULVERDE RD STE 112, SAN ANTONIO, TX 78259-3762
(210) 494-4200
(210) 491-5959
Mailing address
7167 BELLA GDN, SAN ANTONIO, TX 78256-2123
(210) 557-4005
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
31728
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN17181
FL
Other
Enumeration date
04/13/2009
Last updated
12/15/2020
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