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Individual
SARALA VUNNAM
Active
Individual
SARALA VUNNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
058426
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322380510
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
SV058426
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
03/18/2021
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