Individual
MR. AMRUTH RAM JONNALAGADDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 TSIENNETO RD, SUITE 300, DERRY, NH 03038
(603) 216-0400
(603) 416-3800
Mailing address
PO BOX 38, DERRY, NH 03038
(603) 216-0400
(603) 216-3800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21029
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2017
Last updated
03/15/2021
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