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Individual
DR. KAVYA KOPPULA
Active
Individual
DR. KAVYA KOPPULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301103189
MI
207Q00000X
Family Medicine Physician
Primary
60483
MN
Other
Enumeration date
07/02/2013
Last updated
07/22/2016
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