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Individual
DR. TERATA ANN KANU
Active
Individual
DR. TERATA ANN KANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q6039
TX
2083P0901X
Public Health & General Preventive Medicine Physician
Q6039
TX
208D00000X
General Practice Physician
Primary
Q6039
TX
208VP0014X
Interventional Pain Medicine Physician
Q6039
TX
Other
Enumeration date
03/28/2011
Last updated
12/06/2024
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