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Individual
DR. SURESH VEMULA
Active
Individual
DR. SURESH VEMULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M9074
TX
207R00000X
Internal Medicine Physician
MD424754
PA
208M00000X
Hospitalist Physician
MD424754
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02580096
—
NY
05
—
1010956470001
—
PA
05
—
193187501
—
TX
01
—
GU039812
PA MEDICARE GROUP
PA
Enumeration date
02/24/2006
Last updated
12/20/2012
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