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Individual
POLLACHI P SELVAKUMARRAJ
Active
Individual
POLLACHI P SELVAKUMARRAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
L1195
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029966101
—
TX
01
—
L1195
PHYSICIAN PERMIT
TX
Enumeration date
08/17/2005
Last updated
10/27/2017
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