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Individual

DR. SUBRAHMANYAM DEVARAKONDA

Active
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Individual

DR. SUBRAHMANYAM DEVARAKONDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0038148
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06845
WELLCARE
FL
01
—
110046857
RAILROAD
FL
01
—
205531
AVMED
FL
01
—
30347
BCBS
FL
Enumeration date
07/08/2006
Last updated
12/23/2010
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