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Individual
DR. KITNAMMA RAJARAM
Active
Individual
DR. KITNAMMA RAJARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0434701
NY
207R00000X
Internal Medicine Physician
216529
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21652901
NYS LICENSE
NY
Enumeration date
03/16/2007
Last updated
03/07/2023
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