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Individual
VINAY K SIDDAPPA
Active
Individual
VINAY K SIDDAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD24612
OR
208M00000X
Hospitalist Physician
Primary
MD24612
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227411
—
OR
01
—
P00451469
RR MEDICARE
OR
Enumeration date
07/08/2006
Last updated
10/13/2020
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