Individual
SURYA DEEPIKA APPALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO # 105550, ALBUQUERQUE, NM 87131-2723
(505) 272-4661
(505) 272-0475
Mailing address
8304 CARMEL RIDGE PL NE, ALBUQUERQUE, NM 87122-2978
(513) 800-8027
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
44319
IA
208000000X
Pediatrics Physician
MD2019-0070
NM
2080A0000X
Pediatric Adolescent Medicine Physician
M2019-0070
NM
2080S0012X
Pediatric Sleep Medicine Physician
MD2019-0070
NM
390200000X
Student in an Organized Health Care Education/Training Program
MD2019-0070
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/02/2014
Last updated
03/09/2023
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