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Individual
PRASUNA MUPPA
Active
Individual
PRASUNA MUPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
27510
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
12661
SD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
64160
MN
Other
Enumeration date
04/09/2016
Last updated
09/02/2021
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