Provider Demographics
NPI:1225797079
Name:COMPLETE FAMILY MEDICINE PLLC
Entity Type:Organization
Organization Name:COMPLETE FAMILY MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DEEPTHI
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDRAJU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-345-1700
Mailing Address - Street 1:104 WHALON ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:MA
Mailing Address - Zip Code:01420-7128
Mailing Address - Country:US
Mailing Address - Phone:978-345-1700
Mailing Address - Fax:
Practice Address - Street 1:104 WHALON ST STE 2A
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:MA
Practice Address - Zip Code:01420-7128
Practice Address - Country:US
Practice Address - Phone:978-345-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-09
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty