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Individual
ANIL KUMAR MUDDADA
Active
Individual
ANIL KUMAR MUDDADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2011017861
MO
207RN0300X
Nephrology Physician
Primary
35122892
OH
Other
Enumeration date
09/01/2009
Last updated
06/27/2023
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