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Individual
SUDEEP TAKSALI
Active
Individual
SUDEEP TAKSALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A100328
CA
207X00000X
Orthopaedic Surgery Physician
Primary
MD155983
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500638495
—
OR
01
—
MD155983
MEDICAL LICENSE
OR
Enumeration date
06/09/2007
Last updated
06/10/2019
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