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Individual
MR. SRINIVAS R MALLIDI
Active
Individual
MR. SRINIVAS R MALLIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202206372
VA
183500000X
Pharmacist
13172
MD
1835N0905X
Nuclear Pharmacist
0202206372
VA
Other
Enumeration date
11/03/2008
Last updated
01/27/2014
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