Individual
DR. PRAMOD KESAVASWAMY NELLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 W 7TH ST, VA HOSPITAL CAVHS, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Mailing address
35 MARCELLA DR, LITTLE ROCK, AR 72223-8907
(501) 868-9699
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
E-4394
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165386001
—
AR
Enumeration date
10/11/2006
Last updated
09/01/2010
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