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Individual

ASHOK K NAGELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3112 CLEARWATER DR, SUITE B, PRESCOTT, AZ 86305-7187
(928) 541-9885
(928) 776-8484
Mailing address
1055 RUTH ST, SUITE 6, PRESCOTT, AZ 86301-1740
(928) 445-5211
(928) 776-8484

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
37535
AZ
2084P0800X
Psychiatry Physician
IL

Other

Enumeration date
07/09/2006
Last updated
11/07/2007
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