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Individual
DR. SURAJ THANGADA
Active
Individual
DR. SURAJ THANGADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT203020
PA
208M00000X
Hospitalist Physician
35.130161
OH
Other
Enumeration date
09/26/2012
Last updated
01/10/2018
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