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Individual
SAVEEN KONDAMURI
Active
Individual
SAVEEN KONDAMURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
01049412A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217296
BLUE CROSS BLUE SHIELD
IN
01
—
01049412A
BCBS OF ILLINOIS
IL
01
—
01049412A
LICENSE NUMBER
IN
01
—
1962401745
GROUP NPI
IN
05
—
200224020A
—
IN
01
—
P00635867
MEDICARE RAILROAD
GA
Enumeration date
07/18/2005
Last updated
12/15/2011
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