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Individual
VIJAYADERSHAN MUPPIDI
Active
Individual
VIJAYADERSHAN MUPPIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60952
WI
207R00000X
Internal Medicine Physician
MT197390
PA
207R00000X
Internal Medicine Physician
Primary
T1480
TX
208M00000X
Hospitalist Physician
01076877A
IN
208M00000X
Hospitalist Physician
60952
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001037768
ANTHEM
IN
05
—
201378520
—
IN
Enumeration date
07/19/2010
Last updated
11/23/2021
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