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Individual
DR. NARESH MULLAGURI
Active
Individual
DR. NARESH MULLAGURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
84022
SC
2084V0102X
Vascular Neurology Physician
MD84022
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013021067
MISSOURI TEMPORARY LICENSE NUMBER
MO
Enumeration date
06/28/2013
Last updated
06/01/2021
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