Doctor Name: | DR. NARAYANA RAO PULA |
NPI Number: | 1801003488 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D0065733 |
Business Practice Address: | 118 North St Ste 3b Elkton, MD - 219215575 |
Business Phone Number: | 4102873727 |
Business Fax Number: | 4102872819 |
Mailing Address: | 322 E Cecil Ave Ste 2, NORTH EAST |
State: | MD |
Postal Code: | 219014012 |
Phone Number: | 4102873727 |
Fax Number: | 4102872819 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0065733 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |