Individual
NARASA RAJU MADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
14633 HERITAGE WAY, POWAY, CA 92064-2829
(516) 476-2006
Mailing address
SANTOSH NAGAR, MEHDIPATNAM, 4.NO.12-2-823/5/301, HYDERABAD, BALAJI ARCADE 50002-8
919581411995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53294
AZ
208M00000X
Hospitalist Physician
Primary
53294
AZ
Other
Enumeration date
06/19/2014
Last updated
04/11/2023
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