Basic Information
| Provider Information | |||||||||
| NPI: | 1104057389 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PARUCHURI | ||||||||
| FirstName: | SRI RAMA KRISHNA | ||||||||
| MiddleName: | BENERJI | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 WALTER ST NE STE 501 | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871022521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052773170 | ||||||||
| FaxNumber: | 5057279590 | ||||||||
| Practice Location | |||||||||
| Address1: | 2400 UNSER BLVD SE | ||||||||
| Address2: | |||||||||
| City: | RIO RANCHO | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871244740 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052537878 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/05/2009 | ||||||||
| LastUpdateDate: | 09/20/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | DR.0051463 | CO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0200X | MD2015-0459 | NM | N | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 208M00000X | MD2015-0459 | NM | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | DR.0051463 | CO | N | Allopathic & Osteopathic Physicians | Hospitalist | 390200000X | DR.0051463 | CO | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207RP1001X | MD2015-0459 | NM | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.