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Individual
SUJAN KUMAR VADAREVU
Active
Individual
SUJAN KUMAR VADAREVU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD-41937
IA
208M00000X
Hospitalist Physician
Primary
MD-41937
IA
Other
Enumeration date
07/01/2010
Last updated
09/10/2014
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