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Individual
MRS. MADHURI P BASAVARAJU
Active
Individual
MRS. MADHURI P BASAVARAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
002102
GA
208000000X
Pediatrics Physician
Primary
062947
GA
Other
Enumeration date
01/30/2008
Last updated
01/28/2010
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