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Individual
DAMODARA RAO MENDU
Active
Individual
DAMODARA RAO MENDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
DI46724
FL
Other
Enumeration date
09/29/2015
Last updated
07/17/2026
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