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Individual
RAJENDRA BOYILLA
Active
Individual
RAJENDRA BOYILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
320497
LA
207R00000X
Internal Medicine Physician
Primary
4301509133
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2016
Last updated
05/05/2023
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