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Individual
SONY THEKKETHALA SEBASTIAN
Active
Individual
SONY THEKKETHALA SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04143
KY
207Q00000X
Family Medicine Physician
04143
KY
208M00000X
Hospitalist Physician
Primary
04143
KY
Other
Enumeration date
04/23/2014
Last updated
12/14/2020
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