Individual
NAGAPAVANI KANDAGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5385
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RS2020-0540
NM
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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