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Individual
SUMANTH KUMAR BANDARU
Active
Individual
SUMANTH KUMAR BANDARU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2500D93309
MD
Other
Enumeration date
07/09/2019
Last updated
06/02/2022
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