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Individual
PRIYANKA COSTA HENNIS
Active
Individual
PRIYANKA COSTA HENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
62955
AZ
208M00000X
Hospitalist Physician
2016-01798
NC
208M00000X
Hospitalist Physician
35136107
OH
Other
Enumeration date
07/20/2013
Last updated
12/14/2023
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