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Individual

DR. ALOK SUDHAKAR EZHUTHACHAN

Active
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Individual

DR. ALOK SUDHAKAR EZHUTHACHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301100459
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
212976
NC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
92500
GA

Other

Enumeration date
06/20/2012
Last updated
10/03/2022
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