Individual
DR. PRAVEEN KUMAR NAMBARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 NORTH ST, PITTSFIELD, MA 01201-4101
(413) 499-5411
Mailing address
501 NORTH ST, PITTSFIELD, MA 01201-4101
(413) 499-5411
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH232841
MA
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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