DURGA RAM PRASAD TANNERU

HACKENSACK, NJ
NPI1730513789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: NJ  25MA12182400)
Additional Taxonomies207R00000X Internal Medicine
(Licence: TX  Q6582)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-08-27
Last Update Date2024-06-28
Business Address
DURGA RAM PRASAD TANNERU MD
30 PROSPECT AVE
HACKENSACK, NJ 07601
Phone number: 732-783-4746
Mailing Address
DURGA RAM PRASAD TANNERU MD
331 NEWMAN SPRINGS RD BLDG 2, STE 220
RED BANK, NJ 07701-5688
Phone number: 732-807-0877