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Individual
DR. GURU PADMAKAR MEDAM
Active
Individual
DR. GURU PADMAKAR MEDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55403
TN
207Q00000X
Family Medicine Physician
MD2013-0703
NM
Other
Enumeration date
08/16/2010
Last updated
09/09/2021
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