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Individual
ABHIRAM DUVVURI
Active
Individual
ABHIRAM DUVVURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-38104
KS
207RG0100X
Gastroenterology Physician
2021027837
MO
208M00000X
Hospitalist Physician
Primary
04-38104
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002335
MEDICARE PTAN
KS
05
—
201115140A
—
KS
Enumeration date
07/06/2012
Last updated
08/09/2021
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